MEDICARE: CHRISTIAN FAMILY INSTITUTE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1013922889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIAN FAMILY INSTITUTE INC

Provider Business Mailing Address
First Line	:	6846 S CANTON AVE
Second Line	:	SUITE 501
City	:	TULSA
State	:	OK
Zip	:	74136-3412
Country	:	US
Telephone Number	:	918-745-0095
Fax Number	:	918-745-0190

Provider Business Practice Location Address
First Line	:	6846 S CANTON AVE
Second Line	:	SUITE 501
City	:	TULSA
State	:	OK
Zip	:	74136-3412
Country	:	US
Telephone Number	:	918-745-0095
Fax Number	:	918-745-0190

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	TERRI LOWERS
Credential	:
Telephone Number	:	918-745-0095

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	05/10/2011

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