MEDICARE: AURORA COUNSELING SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	261QM0801X	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033360714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA COUNSELING SERVICES INC

Provider Business Mailing Address
First Line	:	6801 S WESTERN AVE
Second Line	:	SUITE 109
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-1817
Country	:	US
Telephone Number	:	405-634-4434
Fax Number	:	405-631-2780

Provider Business Practice Location Address
First Line	:	6801 S WESTERN AVE
Second Line	:	SUITE 109
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-1816
Country	:	US
Telephone Number	:	405-634-4434
Fax Number	:	405-631-2780

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MRS. HAWAH KABBA
Credential	:	RN, BSN, MPH
Telephone Number	:	405-664-2181

Provider Enumeration Date	:	10/01/2008
Last Update Date	:	02/04/2009

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