Organization
PHOENIX CENTER FOR PASTORAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELVA GAYLE BRIDGES LPC (DIRECTOR, THERAPIST)
(405) 376-5463
Entity
Organization
Contact information
Practice address
13112 N ROCKWELL AVE, OKLAHOMA CITY, OK 73142-2717
(405) 376-5463
(405) 376-5843
Mailing address
13112 N ROCKWELL AVE, OKLAHOMA CITY, OK 73142-2717
(405) 376-5463
(405) 376-5843
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
971
OK
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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