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General NPI Number Information
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NPI Number | 1932728839
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Entity Type | Organization
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Legal Business Name | TREY TROTTER, LMFT & ASSOCIATES, LLC
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Dates
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Enumeration Date | 04/10/2020
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 5840 S MEMORIAL DR STE 3001
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City | TULSA
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State | OK
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Zip | 74145-9054
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Country | US
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Telephone | 580-765-8739
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Fax | 580-749-4131
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Provider Business Mailing Address
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Address Line | PO BOX 32
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City | DISNEY
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State | OK
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Zip | 74340-0032
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Country | US
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Telephone | 580-765-8739
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Fax | 580-749-4131
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | TREY TROTTER
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Credential | LMFT
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Telephone | 580-765-8739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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