Provider Demographics
NPI:1326136722
Name:QUAPAW COUNSELING SERVICES
Entity Type:Organization
Organization Name:QUAPAW COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:ASHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:918-542-1786
Mailing Address - Street 1:PO BOX 876
Mailing Address - Street 2:58150 E. 66TH RD
Mailing Address - City:MIAMI
Mailing Address - State:OK
Mailing Address - Zip Code:74355-0876
Mailing Address - Country:US
Mailing Address - Phone:918-542-1786
Mailing Address - Fax:918-542-3052
Practice Address - Street 1:58150 66TH ROAD EAST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74355-0876
Practice Address - Country:US
Practice Address - Phone:918-542-1786
Practice Address - Fax:918-542-3052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKCERTIFICATION284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital