Organization
GILLISPIE COUNSELING SERVICES
Active
Organization
GILLISPIE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE GILLISPIE LPC (DIRECTOR)
(405) 437-4497
Entity
Organization
Contact information
Practice address
23 N 8TH ST, DUNCAN, OK 73533-4601
(580) 606-6577
(855) 253-2083
Mailing address
23 N 8TH ST, DUNCAN, OK 73533-4601
(405) 437-4497
(855) 253-2083
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5018
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200539560
—
OK
Enumeration date
05/19/2014
Last updated
09/21/2022
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