Provider Demographics
NPI:1063652725
Name:FIRST AMERICANS' CONSULTING GROUP LLC
Entity Type:Organization
Organization Name:FIRST AMERICANS' CONSULTING GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARJO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LPCC, LADC, NCC
Authorized Official - Phone:405-315-4990
Mailing Address - Street 1:7250 FALCON RDG
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-9068
Mailing Address - Country:US
Mailing Address - Phone:405-315-4990
Mailing Address - Fax:405-359-3098
Practice Address - Street 1:1900 S DIVISION ST
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-6062
Practice Address - Country:US
Practice Address - Phone:405-315-4990
Practice Address - Fax:405-359-3098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2010-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3646251S00000X
NM0073851251S00000X
OKCANDIDATE LADC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health