Provider Demographics
NPI:1457195505
Name:GRACE AND HOPE COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:GRACE AND HOPE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAAKSO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:918-947-9297
Mailing Address - Street 1:8715 E 46TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-7101
Mailing Address - Country:US
Mailing Address - Phone:918-947-9297
Mailing Address - Fax:
Practice Address - Street 1:8715 E 46TH PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-7101
Practice Address - Country:US
Practice Address - Phone:918-947-9297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty