Provider Demographics
NPI:1851510267
Name:PAYNE COUNTY COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:PAYNE COUNTY COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAUNDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-372-0198
Mailing Address - Street 1:801 S MAIN ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-4642
Mailing Address - Country:US
Mailing Address - Phone:405-372-0198
Mailing Address - Fax:405-372-0283
Practice Address - Street 1:801 S MAIN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-4642
Practice Address - Country:US
Practice Address - Phone:405-372-0198
Practice Address - Fax:405-372-0283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health