Provider Demographics
NPI:1831533256
Name:COUNSELING SOLUTIONS, LLC
Entity type:Organization
Organization Name:COUNSELING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:G
Authorized Official - Last Name:UNTIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-204-6683
Mailing Address - Street 1:6803 S WESTERN AVE
Mailing Address - Street 2:404
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-1808
Mailing Address - Country:US
Mailing Address - Phone:405-600-6446
Mailing Address - Fax:405-429-7541
Practice Address - Street 1:6803 S WESTERN AVE
Practice Address - Street 2:404
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-1808
Practice Address - Country:US
Practice Address - Phone:405-600-6446
Practice Address - Fax:405-429-7541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health