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General NPI Number Information
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NPI Number | 1972312411
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Entity Type | Organization
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Legal Business Name | LIFE CHANGES WELLNESS COUNSELING
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 201 ROBERT S KERR AVE STE 901A
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-4204
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Country | US
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Telephone | 405-407-7776
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Fax |
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Provider Business Mailing Address
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Address Line | 705 S MUSTANG RD STE 211
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City | YUKON
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State | OK
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Zip | 73099-6778
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MICHELLE WINSTON
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Credential |
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Telephone | 405-312-6826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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