Provider Demographics
NPI:1942326319
Name:CENTRE FOR THERAPY & WELLNESS INC
Entity Type:Organization
Organization Name:CENTRE FOR THERAPY & WELLNESS INC
Other - Org Name:LINDA J NIGH PH D
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:NIGH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-841-3003
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:405-841-3003
Mailing Address - Fax:405-841-3883
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:405-841-3003
Practice Address - Fax:405-841-3883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK420103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKR2765317NMedicare UPIN