Provider Demographics
NPI:1659403780
Name:CENTER FOR PSYCHOTHERAPY, EDUCATION AND SPIRITUAL GROWTH, INC.
Entity Type:Organization
Organization Name:CENTER FOR PSYCHOTHERAPY, EDUCATION AND SPIRITUAL GROWTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NEEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDRED
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN, LPC, LMFT
Authorized Official - Phone:405-848-2181
Mailing Address - Street 1:4141 NW EXPRESSWAY ST
Mailing Address - Street 2:SUITE 370
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-1682
Mailing Address - Country:US
Mailing Address - Phone:405-848-2181
Mailing Address - Fax:405-848-5255
Practice Address - Street 1:4141 NW EXPRESSWAY ST
Practice Address - Street 2:SUITE 370
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1682
Practice Address - Country:US
Practice Address - Phone:405-848-2181
Practice Address - Fax:405-848-5255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2268101YP1600X
OK2225101YP1600X
OK975101YP2500X
OK1057101YP2500X
OK466103TC1900X
OK30961041C0700X
OK104106H00000X
OK212106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty