Provider Demographics
NPI:1841686912
Name:OKLAHOMA CHRISTIAN UNIVERSITY
Entity type:Organization
Organization Name:OKLAHOMA CHRISTIAN UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, UNIVERSITY COUNSELING CEN
Authorized Official - Prefix:MR
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:405-425-5250
Mailing Address - Street 1:PO BOX 11000
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73136-1100
Mailing Address - Country:US
Mailing Address - Phone:405-425-5250
Mailing Address - Fax:405-425-5251
Practice Address - Street 1:2501 E MEMORIAL RD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-5525
Practice Address - Country:US
Practice Address - Phone:405-425-5250
Practice Address - Fax:405-425-5251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2101101YP2500X
OK2738101YP2500X
OK1583101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty