Healthcare Provider Details

I. General information

NPI: 1316329063
Provider Name (Legal Business Name): NURTURING POSITIVE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 06/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 N. W. 21ST STREET
OKLAHOMA CITY OK
73103
US

IV. Provider business mailing address

PO BOX 625
WELEETKA OK
74880-0625
US

V. Phone/Fax

Practice location:
  • Phone: 405-795-7844
  • Fax:
Mailing address:
  • Phone: 405-795-7844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. NORA PUGH-SEEMSTER
Title or Position: CEO/PRESIDENT
Credential: PH.D. MSW, LPC, LMFT
Phone: 405-795-7844