Provider Demographics
NPI:1891570586
Name:OAK GROVE COUNSELING, LLC
Entity Type:Organization
Organization Name:OAK GROVE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, LPCMH
Authorized Official - Phone:484-606-6056
Mailing Address - Street 1:2500 GRUBB RD STE 211
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4796
Mailing Address - Country:US
Mailing Address - Phone:484-606-6056
Mailing Address - Fax:
Practice Address - Street 1:2500 GRUBB RD STE 211
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4796
Practice Address - Country:US
Practice Address - Phone:484-606-0656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty