Provider Demographics
NPI:1699037820
Name:OAK TREE COUNSELING SERVICES
Entity Type:Organization
Organization Name:OAK TREE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BHRS
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:JAUME
Authorized Official - Suffix:
Authorized Official - Credentials:MHR
Authorized Official - Phone:580-678-5182
Mailing Address - Street 1:4411 W GORE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-5977
Mailing Address - Country:US
Mailing Address - Phone:580-695-5596
Mailing Address - Fax:580-699-5950
Practice Address - Street 1:4411 W GORE BLVD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-5977
Practice Address - Country:US
Practice Address - Phone:580-695-5596
Practice Address - Fax:580-699-5950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty