Provider Demographics
NPI:1306208269
Name:CAROLYN MCELROY COUNSELING LLC
Entity Type:Organization
Organization Name:CAROLYN MCELROY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCELROY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:918-729-2026
Mailing Address - Street 1:PO BOX 1261
Mailing Address - Street 2:
Mailing Address - City:DRUMRIGHT
Mailing Address - State:OK
Mailing Address - Zip Code:74030-1261
Mailing Address - Country:US
Mailing Address - Phone:918-729-2026
Mailing Address - Fax:918-514-7504
Practice Address - Street 1:401 S LAYTON AVE
Practice Address - Street 2:
Practice Address - City:DRUMRIGHT
Practice Address - State:OK
Practice Address - Zip Code:74030-4021
Practice Address - Country:US
Practice Address - Phone:918-729-2026
Practice Address - Fax:918-514-7504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK35391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty