Provider Demographics
NPI:1881731198
Name:FAMILY CHRISTIAN COUNSELING
Entity type:Organization
Organization Name:FAMILY CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:C
Authorized Official - Middle Name:F
Authorized Official - Last Name:KIMBERLING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-842-0684
Mailing Address - Street 1:PO BOX 19635
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73144-0635
Mailing Address - Country:US
Mailing Address - Phone:405-692-2118
Mailing Address - Fax:405-691-6499
Practice Address - Street 1:3035 NW 63RD ST
Practice Address - Street 2:STE 101
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3632
Practice Address - Country:US
Practice Address - Phone:405-692-2118
Practice Address - Fax:405-691-6499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty