Provider Demographics
NPI:1356798730
Name:CHOICES COUNSELING CENTER
Entity type:Organization
Organization Name:CHOICES COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:405-702-6677
Mailing Address - Street 1:1305 N SHARTEL AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-2403
Mailing Address - Country:US
Mailing Address - Phone:405-702-6677
Mailing Address - Fax:405-702-6680
Practice Address - Street 1:420 S MUSTANG RD
Practice Address - Street 2:STE D
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-7316
Practice Address - Country:US
Practice Address - Phone:405-702-6677
Practice Address - Fax:405-702-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200110320BMedicaid