Provider Demographics
NPI:1992033120
Name:ACCESS TO COUNSELING, PLLC
Entity Type:Organization
Organization Name:ACCESS TO COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-242-2242
Mailing Address - Street 1:6418 N SANTA FE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-9112
Mailing Address - Country:US
Mailing Address - Phone:405-208-2393
Mailing Address - Fax:405-286-1730
Practice Address - Street 1:6418 N SANTA FE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-9112
Practice Address - Country:US
Practice Address - Phone:405-208-2393
Practice Address - Fax:405-286-1730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-30
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK9285251B00000X
OK3948251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200287810AMedicaid