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NPI Code Detail

MEDICARE: GILLISPIE COUNSELING SERVICES

MEDICARE: GILLISPIE COUNSELING SERVICES
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
1251S00000XCommunity/Behavioral Health Agency5018OK

Other Identifiers

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

General Provider Information

NPI Number : 1851702252
Entity Type Code : Organization
Provider Name (Legal Business Name) : GILLISPIE COUNSELING SERVICES
Provider Business Mailing Address
First Line : 23 N 8TH ST
Second Line :
City : DUNCAN
State : OK
Zip : 73533-4601
Country : US
Telephone Number : 405-437-4497
Fax Number : 855-253-2083
Provider Business Practice Location Address
First Line : 23 N 8TH ST
Second Line :
City : DUNCAN
State : OK
Zip : 73533-4601
Country : US
Telephone Number : 580-606-6577
Fax Number : 855-253-2083
Authorized Official
Title or Position : DIRECTOR
Name : TRACIE GILLISPIE
Credential : LPC
Telephone Number : 405-437-4497
Provider Enumeration Date : 05/19/2014
Last Update Date : 09/21/2022

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Directions to “GILLISPIE COUNSELING SERVICES ” Practice Location

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