Provider Demographics
NPI:1134334030
Name:OAKBROOK COUNSELING CENTER, P.A.
Entity type:Organization
Organization Name:OAKBROOK COUNSELING CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:MORIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:954-735-6240
Mailing Address - Street 1:5950 W OAKLAND PARK BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-1238
Mailing Address - Country:US
Mailing Address - Phone:954-735-6240
Mailing Address - Fax:954-735-6240
Practice Address - Street 1:5950 W OAKLAND PARK BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-1238
Practice Address - Country:US
Practice Address - Phone:954-735-6240
Practice Address - Fax:954-735-6240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty