| Core Counseling, Llc | |
|
5350 S. Western Suite 213 Okc OK 73109-4520 | |
| (405) 923-4382 | |
| Not Available |
| Full Name | Core Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5350 S. Western, Okc, Oklahoma |
| Authorized Official Name and Position | Kirsten Elaine Vaughn-castor (OWNER) |
| Authorized Official Contact | 4059234382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Counseling, Llc 1712 Se 59th St Okc OK 73129 Ph: (405) 923-4382 | Core Counseling, Llc 5350 S. Western Suite 213 Okc OK 73109-4520 Ph: (405) 923-4382 |
| NPI Number | 1215306980 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 09/23/2015 |
| Medicare PECOS PAC ID | 8820395601 |
|---|---|
| Medicare Enrollment ID | O20160322001010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215306980 | NPI | - | NPPES |
| 200340760A | Medicaid | OK |
| Provider Name | Kirsten E Vaughn Castor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407003817 PECOS PAC ID: 4082911870 Enrollment ID: I20160322001372 |
| Provider Name | Mahogany R Gaines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629349527 PECOS PAC ID: 9638560113 Enrollment ID: I20211216001148 |
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