Bison Family Therapy Institute, PLLC
Organization Active NPI Marriage & Family Therapist · Shawnee, OK
NPI 1023453602 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1023453602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 783 (OK)
- Legal business name
- BISON FAMILY THERAPY INSTITUTE, PLLC
- Practice address
- 1601 N Kickapoo Ave Ste 900
Shawnee, OK 74804-4313 - Phone
- (405) 585-6413
- Fax
- (405) 395-0255
- NPI assigned
- May 8, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Canaan Crane, PHD, LMFT
- Title
- Owner
- Phone
- (405) 226-0644
Practitioners 12
-
Canaan R. Crane, LMFT
-
Kelsey Rae Gray, LMFT
-
Lashane Denise Hill, LMFT
-
Valari Jett, MS
-
Hannah Mire, LMFT
-
Bridget Gail Sudderth, LMFT
-
Wendy Dione Harris, LMFT
National Provider Directory
Locations
624 W Independence St
Ste 113
Shawnee, OK 74804
Phone (405) 226-0644
1601 N Kickapoo Ave
Ste 900
Shawnee, OK 74804
Phone (405) 585-6413
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | 783 | OK | Yes |
Addresses
Primary practice location
1601 N Kickapoo Ave Ste 900
Shawnee, OK 74804-4313
Mailing address
2007 N Minnesota Ave
Shawnee, OK 74804-3024
Phone (405) 226-0644
Other providers in Shawnee, OK
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- Caitlin Dawn Bilyeu
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- Ethan Birdwell
- Jamil H Bitar
- Ian Robert Bittle
- Wade Bittle
- Richard Blackburn
- Morgan Blackstock
All providers in Shawnee, OK · Marriage & Family Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.