Healthcare Provider Details

I. General information

NPI: 1659403780
Provider Name (Legal Business Name): CENTER FOR PSYCHOTHERAPY, EDUCATION AND SPIRITUAL GROWTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4141 NW EXPRESSWAY ST SUITE 370
OKLAHOMA CITY OK
73116-1682
US

IV. Provider business mailing address

4141 NW EXPRESSWAY ST SUITE 370
OKLAHOMA CITY OK
73116-1682
US

V. Phone/Fax

Practice location:
  • Phone: 405-848-2181
  • Fax: 405-848-5255
Mailing address:
  • Phone: 405-848-2181
  • Fax: 405-848-5255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number2268
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number2225
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number975
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1057
License Number StateOK
# 5
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number466
License Number StateOK
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number104
License Number StateOK
# 7
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number212
License Number StateOK
# 8
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3096
License Number StateOK

VIII. Authorized Official

Name: DR. NEEL ALDRED
Title or Position: EXECUTIVE DIRECTOR
Credential: D.MIN., LPC, LMFT
Phone: 405-848-2181