Provider Demographics
NPI:1700283124
Name:COBBLESTONE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:COBBLESTONE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN. DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAJORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1877-269-9476
Mailing Address - Street 1:3033 NW 63RD ST
Mailing Address - Street 2:SUITE E200
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-3634
Mailing Address - Country:US
Mailing Address - Phone:187-726-9947
Mailing Address - Fax:
Practice Address - Street 1:3033 NW 63RD ST
Practice Address - Street 2:SUITE E200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3634
Practice Address - Country:US
Practice Address - Phone:187-726-9947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management