Provider Demographics
NPI:1144518531
Name:GL COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:GL COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:L
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:918-527-9877
Mailing Address - Street 1:509 HONEYSUCKLE DR
Mailing Address - Street 2:
Mailing Address - City:WAGONER
Mailing Address - State:OK
Mailing Address - Zip Code:74467-1603
Mailing Address - Country:US
Mailing Address - Phone:918-527-9877
Mailing Address - Fax:
Practice Address - Street 1:509 HONEYSUCKLE DR
Practice Address - Street 2:
Practice Address - City:WAGONER
Practice Address - State:OK
Practice Address - Zip Code:74467-1603
Practice Address - Country:US
Practice Address - Phone:918-527-9877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3042251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health