Phoenix Center for Pastoral Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

971 Issued in OK

Legal business name

PHOENIX CENTER FOR PASTORAL COUNSELING

Practice address

13112 N Rockwell Ave
Oklahoma City, OK 73142-2717

Phone

(405) 376-5463

Fax

(405) 376-5843

NPI assigned

Aug 21, 2007

Last updated

Aug 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melva Gayle Bridges, LPC

Title

Director, Therapist

Phone

(405) 376-5463

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1386837649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13112 N ROCKWELL AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422717",
            "telephone_number": "405-376-5463",
            "fax_number": "405-376-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13112 N ROCKWELL AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422717",
            "telephone_number": "405-376-5463",
            "fax_number": "405-376-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CENTER FOR PASTORAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "MELVA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "DIRECTOR, THERAPIST",
        "authorized_official_telephone_number": "405-376-5463",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William G Phillips, MD
• Yvette Maryetta Phillips, CNP
• Gina Phillis
• Kimmie Phisaiwath, APRN-CNP
• Anhkim Pho, DO
• Phoenix Health Care LLC (South Park East)
• Phoenix Healthcare LLC (The Lakes Care Center)
• Phoenix Physician Services Inc
• Phoenix Warrior Services LLC
• PHP Ok PC (Primary Health Partners)

• Community/Behavioral Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.