Provider Demographics
NPI:1033215900
Name:ASSOCIATES IN PSYCHOTHERAPY & RELIGION INC
Entity Type:Organization
Organization Name:ASSOCIATES IN PSYCHOTHERAPY & RELIGION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURENCE
Authorized Official - Middle Name:C
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN
Authorized Official - Phone:405-341-8671
Mailing Address - Street 1:2500 SOUTH BROADWAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013
Mailing Address - Country:US
Mailing Address - Phone:405-341-8671
Mailing Address - Fax:405-341-8671
Practice Address - Street 1:2500 SOUTH BROADWAY
Practice Address - Street 2:SUITE 300
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013
Practice Address - Country:US
Practice Address - Phone:405-341-8671
Practice Address - Fax:405-341-8671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK461101YP2500X
OK061106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty