Provider Demographics
NPI:1497571640
Name:THE WELL PSYCHOLOGY AND COUNSELING
Entity type:Organization
Organization Name:THE WELL PSYCHOLOGY AND COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SECOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-889-6366
Mailing Address - Street 1:4107 N COUNCIL RD STE C1
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-3138
Mailing Address - Country:US
Mailing Address - Phone:405-889-6366
Mailing Address - Fax:
Practice Address - Street 1:4107 N COUNCIL RD STE C1
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:OK
Practice Address - Zip Code:73008-3138
Practice Address - Country:US
Practice Address - Phone:405-889-6366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty