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General NPI Number Information
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NPI Number | 1477798254
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Entity Type | Organization
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Legal Business Name | LIFELINE MENTAL HEALTH SERVICES, INC
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 700 W 15TH ST SUITE 2
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City | EDMOND
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State | OK
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Zip | 73013-3749
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Country | US
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Telephone | 405-740-3233
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Fax | 405-396-2864
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Provider Business Mailing Address
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Address Line | PO BOX 196
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City | ARCADIA
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State | OK
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Zip | 73007-0196
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Country | US
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Telephone | 405-740-3233
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Fax | 405-396-2864
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MARGARET A. GARLAND
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Credential | LPC
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Telephone | 405-740-3233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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