Provider Demographics
NPI:1710231386
Name:A BETTER CHOICE COUNSELING SERVICE
Entity Type:Organization
Organization Name:A BETTER CHOICE COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:405-601-3324
Mailing Address - Street 1:4900 SOUTH WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA, CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73109-3838
Mailing Address - Country:US
Mailing Address - Phone:405-601-3324
Mailing Address - Fax:405-605-7820
Practice Address - Street 1:4900 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3838
Practice Address - Country:US
Practice Address - Phone:405-601-3324
Practice Address - Fax:405-605-7820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK230101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1780821231OtherSOONERCARE