Provider Demographics
NPI:1922318468
Name:CENTER FOR COUNSELING AND EDUCATION
Entity Type:Organization
Organization Name:CENTER FOR COUNSELING AND EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-747-6800
Mailing Address - Street 1:4803 S LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-5154
Mailing Address - Country:US
Mailing Address - Phone:918-747-6800
Mailing Address - Fax:918-516-0401
Practice Address - Street 1:409 S PITTSBURG AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74112-1201
Practice Address - Country:US
Practice Address - Phone:918-747-6800
Practice Address - Fax:918-516-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health