Organization
NEW LIFE COUNSELING CENTER
Active
Other names
New Life Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM A. MOORE LPC (OWNER)
(580) 736-4455
Entity
Organization
Contact information
Practice address
1206 N HWY 81, DUNCAN, OK 73533-1790
(580) 475-0014
(580) 786-2079
Mailing address
3405 KRISTIN LN, DUNCAN, OK 73533-1801
(580) 736-4455
(580) 786-2079
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
914664849
BCBS
—
Enumeration date
06/12/2020
Last updated
06/12/2020
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