Provider Demographics
NPI:1134216427
Name:LIFEFOCUS COUNSELING SERVICES
Entity type:Organization
Organization Name:LIFEFOCUS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WENONA
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:LADC, MHR, CEAP
Authorized Official - Phone:405-840-5252
Mailing Address - Street 1:4045 NW 64TH ST
Mailing Address - Street 2:SUITE 501
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-1684
Mailing Address - Country:US
Mailing Address - Phone:405-840-5252
Mailing Address - Fax:405-840-1256
Practice Address - Street 1:4045 NW 64TH ST
Practice Address - Street 2:SUITE 501
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1684
Practice Address - Country:US
Practice Address - Phone:405-840-5252
Practice Address - Fax:405-840-1256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK95-249101YP1600X
OK13101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty