Provider Demographics
NPI:1366652042
Name:4UN COUNSELING CENTER PLLC
Entity Type:Organization
Organization Name:4UN COUNSELING CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:
Authorized Official - Last Name:NICHOLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-801-2488
Mailing Address - Street 1:210 E MAIN ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-1333
Mailing Address - Country:US
Mailing Address - Phone:405-801-2488
Mailing Address - Fax:405-801-2588
Practice Address - Street 1:210 E MAIN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-1333
Practice Address - Country:US
Practice Address - Phone:405-801-2488
Practice Address - Fax:405-801-2588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management