Provider Demographics
NPI:1366906802
Name:OAKS COUNSELING AND COACHING, LLC
Entity type:Organization
Organization Name:OAKS COUNSELING AND COACHING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:NIEL
Authorized Official - Last Name:CLIMER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:469-430-9982
Mailing Address - Street 1:2201 LONG PRAIRIE RD
Mailing Address - Street 2:STE 107 #112
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4964
Mailing Address - Country:US
Mailing Address - Phone:469-430-9982
Mailing Address - Fax:
Practice Address - Street 1:2660 FOREST VISTA DR
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-4678
Practice Address - Country:US
Practice Address - Phone:469-430-9982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2024-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty