Provider Demographics
NPI:1205012606
Name:THE OFFICE OF COUNSELING SERVICES
Entity type:Organization
Organization Name:THE OFFICE OF COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/ COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:WOODY
Authorized Official - Middle Name:L
Authorized Official - Last Name:COPLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT/LADC
Authorized Official - Phone:405-391-2096
Mailing Address - Street 1:PO BOX 951
Mailing Address - Street 2:
Mailing Address - City:MCLOUD
Mailing Address - State:OK
Mailing Address - Zip Code:74851-0951
Mailing Address - Country:US
Mailing Address - Phone:405-623-9017
Mailing Address - Fax:405-391-2096
Practice Address - Street 1:22250 SE 29TH ST
Practice Address - Street 2:
Practice Address - City:HARRAH
Practice Address - State:OK
Practice Address - Zip Code:73045-5990
Practice Address - Country:US
Practice Address - Phone:405-391-2096
Practice Address - Fax:405-391-2096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
OK412251S00000X
OK987251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management