Provider Demographics
NPI:1497118152
Name:CAPABLE COUNSELING SERVICES (CCS), LLC
Entity Type:Organization
Organization Name:CAPABLE COUNSELING SERVICES (CCS), LLC
Other - Org Name:CHIDI NDUBUEZE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIDIEBERE
Authorized Official - Middle Name:
Authorized Official - Last Name:NDUBUEZE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LADC/MH
Authorized Official - Phone:405-412-6218
Mailing Address - Street 1:4900 N PORTLAND AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-6100
Mailing Address - Country:US
Mailing Address - Phone:405-412-6218
Mailing Address - Fax:
Practice Address - Street 1:4900 N PORTLAND AVE STE 105
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-6100
Practice Address - Country:US
Practice Address - Phone:405-412-6218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1098101YA0400X
OK5042101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty