Organization
PHOENIX COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA MICHELLE ROACH LPC (OWNER)
(918) 797-7786
Entity
Organization
Contact information
Practice address
RR 6 BOX 5, STILWELL, OK 74960-9501
(918) 797-7786
(918) 696-8679
Mailing address
RR 6 BOX 5, STILWELL, OK 74960-9501
(918) 797-7786
(918) 696-8679
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/01/2014
Last updated
08/10/2015
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