Provider Demographics
NPI:1003230715
Name:COUSELING ASSOCIATES
Entity Type:Organization
Organization Name:COUSELING ASSOCIATES
Other - Org Name:TODD A. EPHRAIM & ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:EPHRAIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:913-481-5387
Mailing Address - Street 1:3829 N CLASSEN BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-2870
Mailing Address - Country:US
Mailing Address - Phone:913-481-5387
Mailing Address - Fax:
Practice Address - Street 1:3829 N CLASSEN BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-2870
Practice Address - Country:US
Practice Address - Phone:913-481-5387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-17
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK960106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty