Provider Demographics
NPI:1194114801
Name:INSPIRE COUNSELING & PSYCHOLOGICAL SERVICES, LLC
Entity type:Organization
Organization Name:INSPIRE COUNSELING & PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAYLA
Authorized Official - Middle Name:SOUAD
Authorized Official - Last Name:AL-KHATEIB
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:580-924-4779
Mailing Address - Street 1:114 S 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-5017
Mailing Address - Country:US
Mailing Address - Phone:580-924-4779
Mailing Address - Fax:580-924-4779
Practice Address - Street 1:114 S 7TH AVE
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701-5017
Practice Address - Country:US
Practice Address - Phone:580-924-4779
Practice Address - Fax:580-924-4779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-19
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4924251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health