Organization
CENTER FOR LIFE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN L SMITH LPC (PRESIDENT)
(405) 821-8182
Entity
Organization
Contact information
Practice address
15804 BIG CYPRESS DR, EDMOND, OK 73013-1755
(405) 821-8182
Mailing address
15804 BIG CYPRESS DR, EDMOND, OK 73013-1755
(405) 821-8182
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5055
OK
101YM0800X
Mental Health Counselor
5055
OK
101YP1600X
Pastoral Counselor
5055
OK
101YP2500X
Professional Counselor
Primary
5055
OK
101YS0200X
School Counselor
5055
OK
103K00000X
Behavior Analyst
5055
OK
106H00000X
Marriage & Family Therapist
5055
OK
251B00000X
Case Management Agency
5055
OK
251S00000X
Community/Behavioral Health Agency
5055
OK
Other
Enumeration date
02/01/2016
Last updated
10/04/2024
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