Ecclesia Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6365 Issued in OK

Legal business name

ECCLESIA COUNSELING SERVICES LLC

Practice address

10306 N 138TH East Ave Ste 200
Owasso, OK 74055-4665

Phone

(918) 671-7764

NPI assigned

May 31, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Percy Calvert III, LPC

Title

Owner and LPC

Phone

(918) 671-7764

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1225520638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 N QUEBEC AVE",
            "city": "SPERRY",
            "state": "OK",
            "postal_code": "740734741",
            "telephone_number": "918-671-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 N 138TH EAST AVE STE 200",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554665",
            "telephone_number": "918-671-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECCLESIA COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "CALVERT",
        "authorized_official_first_name": "PERCY",
        "authorized_official_title_or_position": "OWNER AND LPC",
        "authorized_official_telephone_number": "918-671-7764",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Dawn Dwiggins, PHARMD
• Keara Dwyer, DC
• Alicia R Easlon, PHARM D
• Patrick Easterling
• Breece Michael Eberley, M.D.
• Travis Colton Eden, RDN
• Chad J Edwards, O.D.
• Tera Marchelle Egleston, D.C.
• Elizabeth Anne Eipp, RDN, LD
• Elevate Med Wellness PLLC

• Professional Counselor in Owasso, OK
• Providers in Owasso, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.