Provider Demographics
NPI:1083039739
Name:ADEO COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:ADEO COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHANNES
Authorized Official - Middle Name:
Authorized Official - Last Name:STEFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:MAMFT
Authorized Official - Phone:405-408-2916
Mailing Address - Street 1:7300 NW 23RD ST
Mailing Address - Street 2:STE. 301
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-5128
Mailing Address - Country:US
Mailing Address - Phone:405-408-2916
Mailing Address - Fax:
Practice Address - Street 1:7300 NW 23RD ST
Practice Address - Street 2:STE. 301
Practice Address - City:BETHANY
Practice Address - State:OK
Practice Address - Zip Code:73008-5128
Practice Address - Country:US
Practice Address - Phone:405-408-2916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1091251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health