Provider Demographics
NPI:1508127473
Name:HEARTLAND CHRISTIAN COUNSELING, INC.
Entity type:Organization
Organization Name:HEARTLAND CHRISTIAN COUNSELING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOSIER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-517-9950
Mailing Address - Street 1:1019 WATERWOOD PARKWAY
Mailing Address - Street 2:SUITE E
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-5329
Mailing Address - Country:US
Mailing Address - Phone:405-517-9950
Mailing Address - Fax:
Practice Address - Street 1:1019 WATERWOOD PKWY
Practice Address - Street 2:SUITE E
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-5332
Practice Address - Country:US
Practice Address - Phone:405-517-9950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2299251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health