Organization
REACH FOR THE LIGHT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN J GREENWOOD LMFT, LADC, ICADC (CLINICAL DIRECTOR)
(405) 601-0295
Entity
Organization
Contact information
Practice address
1418 LINWOOD BLVD, OKLAHOMA CITY, OK 73106-5022
(405) 601-0295
(405) 601-0316
Mailing address
1418 LINWOOD BLVD, OKLAHOMA CITY, OK 73106-5022
(405) 601-0295
(405) 601-0316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
516
OK
106H00000X
Marriage & Family Therapist
Primary
835
OK
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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