Organization
CENTER FOR PSYCHOLOGICAL DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY L GIBSON MBS, LPC-S (CEO/CO-OWNER)
(580) 920-2069
Entity
Organization
Contact information
Practice address
1312 N 1ST AVE, DURANT, OK 74701-2810
(580) 920-2069
(580) 920-1010
Mailing address
1312 N 1ST AVE, DURANT, OK 74701-2810
(580) 920-2069
(580) 920-1010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/15/2010
Last updated
07/30/2025
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