Provider Demographics
NPI:1558502922
Name:TOTAL LIFE COUNSELING
Entity Type:Organization
Organization Name:TOTAL LIFE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LARRENDA
Authorized Official - Middle Name:DEANEISHA
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ADCIT,CM
Authorized Official - Phone:405-863-5724
Mailing Address - Street 1:3000 UNITED FOUNDERS BLVD STE 239
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4294
Mailing Address - Country:US
Mailing Address - Phone:405-840-7040
Mailing Address - Fax:405-840-7012
Practice Address - Street 1:3000 UNITED FOUNDERS BLVD.
Practice Address - Street 2:SUITE 239
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112
Practice Address - Country:US
Practice Address - Phone:405-840-7040
Practice Address - Fax:405-840-7012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty