Organization Name: | KRISTI MCCOY, COUNSELING AND ASSESSMENT, PLLC |
NPI Number: | 1083097042 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTI RHEA MCCOY (COUNSELOR/EXAMINER) |
Mailing Address: | 301 W Main St Suite 329 Ardmore |
State: | OK US |
Postal Code: | 734016337 |
Phone Number: | 5805049232 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2015 |
NPI Last Update Date: | 07/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4582 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |