Provider Demographics
NPI:1396199279
Name:WHITE OAKS COUNSELING, LLC
Entity Type:Organization
Organization Name:WHITE OAKS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROXIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC, NCC
Authorized Official - Phone:575-356-2347
Mailing Address - Street 1:PO BOX 776
Mailing Address - Street 2:
Mailing Address - City:PORTALES
Mailing Address - State:NM
Mailing Address - Zip Code:88130-0776
Mailing Address - Country:US
Mailing Address - Phone:575-356-2347
Mailing Address - Fax:575-356-2347
Practice Address - Street 1:1420 S AVENUE O
Practice Address - Street 2:
Practice Address - City:PORTALES
Practice Address - State:NM
Practice Address - Zip Code:88130-7001
Practice Address - Country:US
Practice Address - Phone:575-356-2347
Practice Address - Fax:575-356-2347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-18
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4087101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1679650840OtherNPI
NM1679650840OtherNPI