Provider Demographics
NPI:1346631660
Name:THE COUNSELING PLACE, LLC
Entity Type:Organization
Organization Name:THE COUNSELING PLACE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:O
Authorized Official - Last Name:PAINTER
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, LPC
Authorized Official - Phone:918-424-5814
Mailing Address - Street 1:407 E CHEROKEE AVE
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-5367
Mailing Address - Country:US
Mailing Address - Phone:918-424-5814
Mailing Address - Fax:918-423-0334
Practice Address - Street 1:407 E CHEROKEE AVE
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-5367
Practice Address - Country:US
Practice Address - Phone:918-424-5814
Practice Address - Fax:918-423-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health