Provider Demographics
NPI:1760975999
Name:COUNSELING AND BEHAVIORAL SPECIALISTS OF OKLAHOMA
Entity Type:Organization
Organization Name:COUNSELING AND BEHAVIORAL SPECIALISTS OF OKLAHOMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC-S, BCBA
Authorized Official - Phone:405-564-3408
Mailing Address - Street 1:1209 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-5846
Mailing Address - Country:US
Mailing Address - Phone:405-564-3408
Mailing Address - Fax:844-270-2039
Practice Address - Street 1:1209 S MAIN ST
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-5846
Practice Address - Country:US
Practice Address - Phone:405-564-3408
Practice Address - Fax:844-270-2039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)