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General NPI Number Information
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NPI Number | 1376150136
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Entity Type | Organization
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Legal Business Name | TRANSFORMATION BEHAVIORAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 7633 E 63RD PL STE 345
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City | TULSA
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State | OK
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Zip | 74133-1273
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Country | US
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Telephone | 918-884-7549
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Fax | 918-459-4500
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Provider Business Mailing Address
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Address Line | PO BOX 700844
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City | TULSA
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State | OK
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Zip | 74170-0844
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Country | US
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Telephone | 918-282-4465
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ OWNER/THERAPIST
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Name | MS. ANN L FREMPONG
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Credential | LCSW, RPT, CCTP ,
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Telephone | 918-282-4465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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