Provider Demographics
NPI:1578867891
Name:THERAPEUTIC ALLIANCES
Entity Type:Organization
Organization Name:THERAPEUTIC ALLIANCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REX
Authorized Official - Middle Name:
Authorized Official - Last Name:FRYER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-384-1136
Mailing Address - Street 1:5839 HEFNER VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-7755
Mailing Address - Country:US
Mailing Address - Phone:405-384-1136
Mailing Address - Fax:
Practice Address - Street 1:5839 HEFNER VILLAGE CT
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-7755
Practice Address - Country:US
Practice Address - Phone:405-384-1136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK604101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty