OrganizationActive
Advance Counseling, PC
NPI 1104178904 · Community/Behavioral Health Agency · Bethany, OK
Provider details
- NPI number
- 1104178904
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Authorized official
- Dwight Gaston, President
- License
- 2578 (OK)
Practice location
6656 Nw 39th Expy
Suite 202
Bethany, OK 73008-2704
Phone: (405) 844-8085
Fax: (405) 285-1652
Mailing address
1015 Waterwood Pkwy
Edmond, OK 73034-5327
Registry dates
- Enumerated
- 2012-10-04
- Last updated
- 2012-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.