Healthcare Provider Details

I. General information

NPI: 1134057433
Provider Name (Legal Business Name): AFFIRM & GROW THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 WATERMARK BLVD APT 3402
OKLAHOMA CITY OK
73134-5500
US

IV. Provider business mailing address

2400 WATERMARK BLVD APT 3402
OKLAHOMA CITY OK
73134-5500
US

V. Phone/Fax

Practice location:
  • Phone: 405-458-0468
  • Fax:
Mailing address:
  • Phone: 405-458-0468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MORGAN BRADY
Title or Position: OWNER/SPEECH-LANGUAGE PATHOLOGIST
Credential:
Phone: 405-458-0468