Healthcare Provider Details

I. General information

NPI: 1487909818
Provider Name (Legal Business Name): QUEST COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2012
Last Update Date: 07/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6931 S 66TH EAST AVE 211
TULSA OK
74133-1754
US

IV. Provider business mailing address

5831 E 78TH ST
TULSA OK
74136-8421
US

V. Phone/Fax

Practice location:
  • Phone: 405-513-4998
  • Fax:
Mailing address:
  • Phone: 405-513-4998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number4692
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4692
License Number StateOK

VIII. Authorized Official

Name: MR. STEVEN MICHAEL HARDEBECK II
Title or Position: CEO
Credential: M.A.
Phone: 405-513-4998