Provider Demographics
NPI:1871622217
Name:CHRISTIAN COUNSELING, PLLC
Entity type:Organization
Organization Name:CHRISTIAN COUNSELING, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCCREARY
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:405-794-5552
Mailing Address - Street 1:412 N TELEPHONE RD
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-4920
Mailing Address - Country:US
Mailing Address - Phone:405-794-5552
Mailing Address - Fax:405-759-2402
Practice Address - Street 1:412 N TELEPHONE RD
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-4920
Practice Address - Country:US
Practice Address - Phone:405-794-5552
Practice Address - Fax:405-759-2402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty