Advance Counseling, PC
Organization Active NPI Community/Behavioral Health Agency · Edmond, OK
NPI 1962707018 · NPPES record last updated Jan 21, 2011
Key facts
- NPI
- 1962707018
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 2578 (OK)
- Legal business name
- ADVANCE COUNSELING, PC
- Practice address
- 1015 Waterwood Pkwy Ste G-B2
Edmond, OK 73034-5355 - Phone
- (405) 844-8085
- Fax
- (405) 285-2186
- NPI assigned
- Jan 21, 2011
- Organization subpart
- No
Authorized official
- Name
- Dwight E Gaston
- Title
- President
- Phone
- (405) 844-8085
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Advance Counseling PC
Locations
1900 N MacArthur Blvd
Ste 226
Oklahoma City, OK 73127
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
1015 Waterwood Pkwy Ste G-B2
Edmond, OK 73034-5355
Mailing address
1900 N Macarthur Blvd Ste 226
Oklahoma City, OK 73127-2656
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200020790C | Medicaid | OK |
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All providers in Edmond, 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 Jan 21, 2011. 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.