Organization
RESILIENT PATHWAYS THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AQUA STEFANO LCSW (OWNER)
(858) 352-8840
Entity
Organization
Contact information
Practice address
1006 NW 47TH ST STE B, LAWTON, OK 73505-4759
(858) 352-8840
Mailing address
629 W MAIN ST STE 196, OKLAHOMA CITY, OK 73102-2221
(858) 352-8840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/18/2025
Last updated
04/18/2025
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