Healthcare Provider Details

I. General information

NPI: 1710218284
Provider Name (Legal Business Name): APRIL D CRAVEN M.ED. LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2010
Last Update Date: 07/02/2024
Certification Date: 07/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 15TH AVE NW
ARDMORE OK
73401-1809
US

IV. Provider business mailing address

202 S WASHITA AVE
WYNNEWOOD OK
73098-7820
US

V. Phone/Fax

Practice location:
  • Phone: 580-224-2830
  • Fax: 405-665-6396
Mailing address:
  • Phone: 405-665-4385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4218
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number4218
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: