Provider Demographics
NPI:1033360714
Name:AURORA COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:AURORA COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HAWAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KABBA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MPH
Authorized Official - Phone:405-664-2181
Mailing Address - Street 1:6801 S WESTERN AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-1817
Mailing Address - Country:US
Mailing Address - Phone:405-634-4434
Mailing Address - Fax:405-631-2780
Practice Address - Street 1:6801 S WESTERN AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-1816
Practice Address - Country:US
Practice Address - Phone:405-634-4434
Practice Address - Fax:405-631-2780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK261QM0801X251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200133740AMedicaid