Provider Demographics
NPI:1740835255
Name:CARING CONNECTION COUNSELING
Entity type:Organization
Organization Name:CARING CONNECTION COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:VANDERBILT-PELA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, RPT
Authorized Official - Phone:405-659-4784
Mailing Address - Street 1:1417 NW 165TH CT
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-7089
Mailing Address - Country:US
Mailing Address - Phone:405-659-4784
Mailing Address - Fax:
Practice Address - Street 1:2000 SONOMA PARK DR BLDG 2
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-2092
Practice Address - Country:US
Practice Address - Phone:405-388-4735
Practice Address - Fax:405-829-6385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-02
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty