Organization
NEW CREATION COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE HARRIS MS, LPC (OWNER)
(479) 524-0477
Entity
Organization
Contact information
Practice address
820 STATELINE RD STE B, COLCORD, OK 74338-1348
(479) 524-0477
Mailing address
PO BOX 8, SILOAM SPRINGS, AR 72761-0008
(479) 524-0477
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200321170A
—
OK
Enumeration date
02/27/2012
Last updated
05/19/2015
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