Provider Demographics
NPI:1134116973
Name:PROFESSIONAL COUNSELING AND CONSULTING SERVICES, P.C.
Entity Type:Organization
Organization Name:PROFESSIONAL COUNSELING AND CONSULTING SERVICES, P.C.
Other - Org Name:PCCS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT, BOARD OF DIRECTOS
Authorized Official - Prefix:
Authorized Official - First Name:NELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEASHINTUBBY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CAADC
Authorized Official - Phone:918-420-5238
Mailing Address - Street 1:PO BOX 1444
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74502-1444
Mailing Address - Country:US
Mailing Address - Phone:908-420-5238
Mailing Address - Fax:918-420-5717
Practice Address - Street 1:400 E WYANDOTTE AVE
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-5464
Practice Address - Country:US
Practice Address - Phone:908-420-5238
Practice Address - Fax:918-420-5717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)