| Family Therapy Institute North | |
|
5300 W Memorial Rd 4f Oklahoma City OK 73142-2029 | |
| (405) 570-1066 | |
| Not Available |
| Full Name | Family Therapy Institute North |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5300 W Memorial Rd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Robert William Mckelvy (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 4055701066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Therapy Institute North 5300 W Memorial Rd 4f Oklahoma City OK 73142-2029 Ph: (405) 570-1066 | Family Therapy Institute North 5300 W Memorial Rd 4f Oklahoma City OK 73142-2029 Ph: (405) 570-1066 |
| NPI Number | 1891074209 |
|---|---|
| Provider Enumeration Date | 08/16/2011 |
| Last Update Date | 12/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891074209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3471 (Oklahoma) | Secondary |
| 101YP2500X | Counselor - Professional | 3471 (Oklahoma) | Primary |
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