NPI 1811362015 · live from the CMS NPI Registry
Connections Center For Guidance And Development, PLLC
Marriage & Family Therapist in Oklahoma City, OK. National Provider Identifier 1811362015, active.
NPI record
| NPI | 1811362015 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 4301 Nw 63rd St, Ste.100, Oklahoma City, OK 73116 |
| Practice phone | 405-242-2969 |
| Mailing address | 4301 Nw 63rd St, Suite 100, Oklahoma City, OK 73116 |
| Enumerated | December 14, 2015 |
| Last updated | January 22, 2016 |
| Authorized official | Samantha Carlton, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | 5550 (OK) |
| Marriage & Family Therapist | 106H00000X | 1154 (OK) |
| Marriage & Family Therapist primary | 106H00000X | 1173 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.