1659781649 NPI number — FUNDAMENTALS COUNSELING SERVICES,LLC

Table of content: (NPI 1659781649)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659781649 NPI number — FUNDAMENTALS COUNSELING SERVICES,LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FUNDAMENTALS COUNSELING SERVICES,LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659781649
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/30/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
994 N MOSELEY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLCORD
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74338-3383
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
479-228-1120
Provider Business Mailing Address Fax Number:
918-723-3730

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
747 HWY 59 #4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESTVILLE
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74965
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-723-3735
Provider Business Practice Location Address Fax Number:
918-723-3730
Provider Enumeration Date:
04/30/2014

Additional Information

Authorized Official

Authorized Official Last Name:
RUSK
Authorized Official First Name:
AMY
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
479-228-1120

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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