Provider Demographics
NPI:1790875136
Name:DEMSON COUNSELING & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:DEMSON COUNSELING & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:EFIONG
Authorized Official - Last Name:MBOSOWO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MA, BA
Authorized Official - Phone:405553999740-562-3108
Mailing Address - Street 1:2616 REDVINE RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-4241
Mailing Address - Country:US
Mailing Address - Phone:405-341-7779
Mailing Address - Fax:405-553-9928
Practice Address - Street 1:1330 N CLASSEN BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-6835
Practice Address - Country:US
Practice Address - Phone:405-553-9997
Practice Address - Fax:405-553-9928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health