Provider Demographics
NPI:1437651908
Name:FAITH OVER FEAR COUNSELING LLC
Entity Type:Organization
Organization Name:FAITH OVER FEAR COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:LAWELLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LADC/MH
Authorized Official - Phone:580-334-6167
Mailing Address - Street 1:501 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-6903
Mailing Address - Country:US
Mailing Address - Phone:580-334-6167
Mailing Address - Fax:
Practice Address - Street 1:1909 MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-2942
Practice Address - Country:US
Practice Address - Phone:580-334-6167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK987101Y00000X, 101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty