Healthcare Provider Details

I. General information

NPI: 1275405284
Provider Name (Legal Business Name): REDEEMED COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15708 N PENNSYLVANIA AVE STE 3
EDMOND OK
73013-7329
US

IV. Provider business mailing address

5500 NW 112TH ST
OKLAHOMA CITY OK
73162-3737
US

V. Phone/Fax

Practice location:
  • Phone: 405-651-3088
  • Fax:
Mailing address:
  • Phone: 405-651-3088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN SCOTT CONRAD
Title or Position: THERAPIST
Credential: LMFT
Phone: 405-651-3088