Provider Demographics
NPI:1457132607
Name:QUALITY OF LIFE COUNSELING,LLC
Entity Type:Organization
Organization Name:QUALITY OF LIFE COUNSELING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALETA
Authorized Official - Middle Name:
Authorized Official - Last Name:BONNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-225-6499
Mailing Address - Street 1:310 NE 28TH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105-2837
Mailing Address - Country:US
Mailing Address - Phone:405-225-6499
Mailing Address - Fax:
Practice Address - Street 1:312 NE 28TH ST STE 103
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-2822
Practice Address - Country:US
Practice Address - Phone:405-225-6499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health