Advance Counseling, PC
Organization Active NPI Community/Behavioral Health Agency · Bethany, OK
NPI 1104178904 · NPPES record last updated Oct 4, 2012
Key facts
- NPI
- 1104178904
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 2578 (OK)
- Legal business name
- ADVANCE COUNSELING, PC
- Practice address
- 6656 NW 39TH Expy
Suite 202
Bethany, OK 73008-2704 - Phone
- (405) 844-8085
- Fax
- (405) 285-1652
- NPI assigned
- Oct 4, 2012
- Organization subpart
- No
Authorized official
- Name
- Dwight Gaston
- Title
- President
- Phone
- (405) 844-8085
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Advance Counseling PC
Locations
6656 NW 39th Expy
Ste 202
Bethany, OK 73008
Phone (405) 844-8085
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 2578 | OK | |
| Community/Behavioral Health Agency | 251S00000X | 2578 | OK | Yes |
Addresses
Primary practice location
6656 NW 39TH Expy
Suite 202
Bethany, OK 73008-2704
Mailing address
1015 Waterwood Pkwy
Suite GB2
Edmond, OK 73034-5327
Phone (405) 844-8085
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200020790F | Medicaid | OK |
Other providers in Bethany, OK
- Adeo Counseling Services, LLC
- Teresa Adkison
- Hannah Allen
- Allied Physicians Group Inc PC
- Alpha Healthcare Services Inc
- Alejandra Maria Alvizu
- Viktorya Alvizu
All providers in Bethany, OK · Community/Behavioral Health Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2012. 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.