| Organization Name: | OWASSO COUNSELING SERVICES,PLLC |
| NPI Number: | 1063661676 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA ANN HARTMULLER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 8555 N 117th East Ave Suite 205 Owasso |
| State: | OK US |
| Postal Code: | 740550000 |
| Phone Number: | 9182747311 |
| Fax Number: | 9182720600 |
| NPI Enumeration Date: | 09/18/2008 |
| NPI Last Update Date: | 04/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 146 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |