Provider Demographics
NPI:1245654292
Name:IMPROVING LIVES COUNSELING SERVICES, INC
Entity type:Organization
Organization Name:IMPROVING LIVES COUNSELING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCPC
Authorized Official - Phone:918-520-3160
Mailing Address - Street 1:308 E DOWNING ST
Mailing Address - Street 2:
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74464-3014
Mailing Address - Country:US
Mailing Address - Phone:918-520-3160
Mailing Address - Fax:
Practice Address - Street 1:308 E DOWNING ST
Practice Address - Street 2:
Practice Address - City:TAHLEQUAH
Practice Address - State:OK
Practice Address - Zip Code:74464-3014
Practice Address - Country:US
Practice Address - Phone:918-520-3160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-11
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management