Provider Demographics
NPI:1891553673
Name:COUNSELING WITH CREATIVE OPTIONS PLLC
Entity Type:Organization
Organization Name:COUNSELING WITH CREATIVE OPTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAUPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-820-8885
Mailing Address - Street 1:6051 N BROOKLINE AVE STE 125
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4286
Mailing Address - Country:US
Mailing Address - Phone:405-820-8885
Mailing Address - Fax:405-286-9588
Practice Address - Street 1:6051 N BROOKLINE AVE STE 125
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4286
Practice Address - Country:US
Practice Address - Phone:405-820-8885
Practice Address - Fax:405-286-9588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty