Provider Demographics
NPI:1689190852
Name:WORSTER WILLIAMS COUNSELING PLLC
Entity Type:Organization
Organization Name:WORSTER WILLIAMS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STORMY
Authorized Official - Middle Name:C
Authorized Official - Last Name:WORSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-301-7610
Mailing Address - Street 1:2801 SUMMIT TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-7195
Mailing Address - Country:US
Mailing Address - Phone:405-301-7610
Mailing Address - Fax:405-364-5379
Practice Address - Street 1:2500 MCGEE DR STE 120
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-6705
Practice Address - Country:US
Practice Address - Phone:405-301-7610
Practice Address - Fax:405-364-5379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-18
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5149101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty