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General NPI Number Information
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NPI Number | 1679217640
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Entity Type | Organization
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Legal Business Name | TRANSITIONING BOY 2 MEN, INC
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 4334 NW EXPRESSWAY STE 252
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-1576
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Country | US
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Telephone | 405-810-5373
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Fax | 405-242-3001
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Provider Business Mailing Address
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Address Line | 4334 NW EXPRESSWAY STE 252
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-1576
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Country | US
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Telephone | 405-810-5373
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Fax | 405-242-3001
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. KENDRA LAUDERDALE
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Credential | LPC
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Telephone | 405-810-5373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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