Provider Demographics
NPI:1538114038
Name:LAWTONKA COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:LAWTONKA COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:580-248-3900
Mailing Address - Street 1:813 SW B AVE
Mailing Address - Street 2:C
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73501-3954
Mailing Address - Country:US
Mailing Address - Phone:580-248-3900
Mailing Address - Fax:580-248-1987
Practice Address - Street 1:813 SW B AVE
Practice Address - Street 2:C
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-3954
Practice Address - Country:US
Practice Address - Phone:580-248-3900
Practice Address - Fax:580-248-1987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered251K00000XAgenciesPublic Health or WelfareGroup - Multi-Specialty