Provider Demographics
NPI:1821288689
Name:LOVE AND HOPE COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:LOVE AND HOPE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE-CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERASA
Authorized Official - Middle Name:LAZUNA
Authorized Official - Last Name:MILES-GREASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-528-4673
Mailing Address - Street 1:1211 N SHARTEL AVE
Mailing Address - Street 2:SUITE 603
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-2400
Mailing Address - Country:US
Mailing Address - Phone:405-528-4673
Mailing Address - Fax:
Practice Address - Street 1:1211 N SHARTEL AVE
Practice Address - Street 2:SUITE 603
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-2400
Practice Address - Country:US
Practice Address - Phone:405-528-4673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health