Provider Demographics
NPI:1780216366
Name:OKLAHOMA COUNSELING RESOURCES
Entity Type:Organization
Organization Name:OKLAHOMA COUNSELING RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:918-706-1468
Mailing Address - Street 1:2261 TERWILLEGER BLVD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-1317
Mailing Address - Country:US
Mailing Address - Phone:918-706-1468
Mailing Address - Fax:
Practice Address - Street 1:4815 S HARVARD AVE STE 418
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-3068
Practice Address - Country:US
Practice Address - Phone:918-706-1468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty