Provider Demographics
NPI:1114198942
Name:OAKWOOD COLLEGE COUNSELING & HEALTH SERVICES
Entity Type:Organization
Organization Name:OAKWOOD COLLEGE COUNSELING & HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:256-726-7840
Mailing Address - Street 1:7000 ADVENTIST BLVD NW
Mailing Address - Street 2:ATTN: COUNSELING & HEALTH SERVICES
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35896-0001
Mailing Address - Country:US
Mailing Address - Phone:256-726-7840
Mailing Address - Fax:256-726-7471
Practice Address - Street 1:7000 ADVENTIST BLVD NW
Practice Address - Street 2:ATTN: COUNSELING & HEALTH SERVICES
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35896-0001
Practice Address - Country:US
Practice Address - Phone:256-726-7840
Practice Address - Fax:256-726-7471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty