Provider Demographics
NPI:1659514164
Name:COUNSELING INTERVENTIONS & STRATEGIES LLC
Entity Type:Organization
Organization Name:COUNSELING INTERVENTIONS & STRATEGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:RICHARDSON MUMINA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-922-2769
Mailing Address - Street 1:1500 NE 4TH ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-3003
Mailing Address - Country:US
Mailing Address - Phone:405-601-5566
Mailing Address - Fax:405-601-5569
Practice Address - Street 1:1500 NE 4TH ST
Practice Address - Street 2:SUITE 205
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117-3003
Practice Address - Country:US
Practice Address - Phone:405-601-5566
Practice Address - Fax:405-601-5569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKS2440251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health