Provider Demographics
NPI:1285792630
Name:MULTI COUNTY COUNSELING, INC.
Entity type:Organization
Organization Name:MULTI COUNTY COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:405-527-1785
Mailing Address - Street 1:221 N WEWOKA AVE
Mailing Address - Street 2:
Mailing Address - City:WEWOKA
Mailing Address - State:OK
Mailing Address - Zip Code:74884-2221
Mailing Address - Country:US
Mailing Address - Phone:405-257-9030
Mailing Address - Fax:405-257-9031
Practice Address - Street 1:220 S WEWOKA AVE
Practice Address - Street 2:
Practice Address - City:WEWOKA
Practice Address - State:OK
Practice Address - Zip Code:74884-2640
Practice Address - Country:US
Practice Address - Phone:405-257-9030
Practice Address - Fax:405-257-9031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100746700BMedicaid