Organization
CONSULTING AND COUNSELING FOR COMMUNITY CHANGE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI TAYLOR KEEHLER MS, LPC, LADC/MH (OWNER)
(918) 901-9300
Entity
Organization
Contact information
Practice address
2021 MAHANEY AVE STE 4, TAHLEQUAH, OK 74464-5795
(918) 901-9300
(918) 901-9339
Mailing address
1313 CATHY AVE, TAHLEQUAH, OK 74464-6609
(918) 772-8466
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3992
OK
251S00000X
Community/Behavioral Health Agency
606
OK
Other
Enumeration date
07/22/2015
Last updated
01/04/2024
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