Provider Demographics
NPI:1639530918
Name:PAUL&ASSOCIATES INC. COUNSELING SERVICES
Entity Type:Organization
Organization Name:PAUL&ASSOCIATES INC. COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:IRISOANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-885-3433
Mailing Address - Street 1:4102 N COUNCIL RD APT 20
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-3103
Mailing Address - Country:US
Mailing Address - Phone:405-885-3433
Mailing Address - Fax:
Practice Address - Street 1:4102 N COUNCIL RD
Practice Address - Street 2:APT 20
Practice Address - City:BETHANY
Practice Address - State:OK
Practice Address - Zip Code:73008-3101
Practice Address - Country:US
Practice Address - Phone:405-855-3433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management