Provider Demographics
NPI:1205374980
Name:MIRACLES COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:MIRACLES COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:NZUONKWELLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-777-8038
Mailing Address - Street 1:3224 SW 103RD ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-6042
Mailing Address - Country:US
Mailing Address - Phone:678-777-8038
Mailing Address - Fax:
Practice Address - Street 1:5601 NW 72ND ST
Practice Address - Street 2:STE 260
Practice Address - City:WARR ACRES
Practice Address - State:OK
Practice Address - Zip Code:73132-5931
Practice Address - Country:US
Practice Address - Phone:678-777-8038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health