MEDICARE: REACH FOR THE LIGHT, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	516	OK
2	106H00000X	Marriage & Family Therapist	835	OK

General Provider Information

NPI Number	:	1992113955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REACH FOR THE LIGHT, INC

Provider Business Mailing Address
First Line	:	1418 LINWOOD BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73106-5022
Country	:	US
Telephone Number	:	405-601-0295
Fax Number	:	405-601-0316

Provider Business Practice Location Address
First Line	:	1418 LINWOOD BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73106-5022
Country	:	US
Telephone Number	:	405-601-0295
Fax Number	:	405-601-0316

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	CAROLYN J GREENWOOD
Credential	:	LMFT, LADC, ICADC
Telephone Number	:	405-601-0295

Provider Enumeration Date	:	07/23/2014
Last Update Date	:	07/23/2014

Similar Medicare Providers

1770609372 — JAMEE ALNETA GREENWOOD MASTERS DEGREE
Practice Location Address:

1418 LINWOOD BLVD
OKLAHOMA CITY, OK
73106-5022

Practice Phone: 405-209-8400
Practice Fax:

1295952240 — MRS. CAROLYN JEAN GREENWOOD LMFT, LADC
Practice Location Address:

1418 LINWOOD BLVD
OKLAHOMA CITY, OK
73106-5022

Practice Phone: 405-601-0295
Practice Fax: 405-601-0316

1912762840 — LAMONICA ALNETA GREEN
Practice Location Address:

1418 LINWOOD BLVD
OKLAHOMA CITY, OK
73106-5022

Practice Phone: 405-601-0295
Practice Fax:

1518067198 — VITACARE CORP USA
Practice Location Address:

5022 N MAY AVE
OKLAHOMA CITY, OK
73112-6010

Practice Phone: 405-605-2790
Practice Fax: 405-605-2792

1669528733 — MS. LISA DEE GARDNER- RUMINER M.ED
Practice Location Address:

711 STANTON L YOUNG BLVD STE 430
OKLAHOMA CITY, OK
73104-5022

Practice Phone: 405-271-6434
Practice Fax: 405-271-6264

1831425636 — KRISTEN M. HADDAD
Practice Location Address:

711 STANTON L YOUNG BLVD STE 430
OKLAHOMA CITY, OK
73104-5022

Practice Phone: 405-271-6434
Practice Fax: 405-271-6264

Directions to “REACH FOR THE LIGHT, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.