Provider Demographics
NPI:1861686271
Name:GARY CONE CORP.
Entity Type:Organization
Organization Name:GARY CONE CORP.
Other - Org Name:THE CONE CENTER - LIVING IN CHOICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-942-3935
Mailing Address - Street 1:PO BOX 60106
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73146-0106
Mailing Address - Country:US
Mailing Address - Phone:405-942-3935
Mailing Address - Fax:
Practice Address - Street 1:1916 N DREXEL BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-3925
Practice Address - Country:US
Practice Address - Phone:405-942-3935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK59101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty