OrganizationActive
Advance Counseling, PC
NPI 1962707018 · Community/Behavioral Health Agency · Edmond, OK
Provider details
- NPI number
- 1962707018
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dwight Gaston, President(405) 844-8085
- License
- 2578 (OK)
Specialties & taxonomies
Agencies
Agencies
Practice location
1015 Waterwood Pkwy Ste G-B2
Edmond, OK 73034-5355
Phone: (405) 844-8085
Fax: (405) 285-2186
Approximate (ZIP-level) locationGet directions
Mailing address
1900 N Macarthur Blvd Ste 226
Oklahoma City, OK 73127-2656
Registry dates
- Enumerated
- 2011-01-21
- Last updated
- 2011-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.