Provider Demographics
NPI:1184975690
Name:PANHANDLE HEALTH CARE AND COUNSELING
Entity type:Organization
Organization Name:PANHANDLE HEALTH CARE AND COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EARNEST
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:580-651-2091
Mailing Address - Street 1:6009 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:GUYMON
Mailing Address - State:OK
Mailing Address - Zip Code:73942-5803
Mailing Address - Country:US
Mailing Address - Phone:580-651-2091
Mailing Address - Fax:
Practice Address - Street 1:201 NORTH 2ND STREET
Practice Address - Street 2:
Practice Address - City:TEXHOMA
Practice Address - State:OK
Practice Address - Zip Code:73949
Practice Address - Country:US
Practice Address - Phone:580-651-2091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1826261Q00000X
TX17062261Q00000X
OK69122261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center