Provider Demographics
NPI:1891561320
Name:CHANEY COUNSELING & COACHING, LLC
Entity type:Organization
Organization Name:CHANEY COUNSELING & COACHING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:191-824-4744
Mailing Address - Street 1:921 N WEWOKA AVE
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-6132
Mailing Address - Country:US
Mailing Address - Phone:918-244-7444
Mailing Address - Fax:
Practice Address - Street 1:609 S BRADY ST STE 109
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-5088
Practice Address - Country:US
Practice Address - Phone:918-244-7444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty