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NPI Code Detail

MEDICARE: CHILDREN'S THERAPEUTIC STRATEGIES, PLLC

MEDICARE: CHILDREN'S THERAPEUTIC STRATEGIES, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1003365867
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S THERAPEUTIC STRATEGIES, PLLC
Provider Business Mailing Address
First Line : 3650 CAMELOT DR
Second Line :
City : BARTLESVILLE
State : OK
Zip : 74006-7623
Country : US
Telephone Number : 918-331-9050
Fax Number : 918-331-9059
Provider Business Practice Location Address
First Line : 3650 CAMELOT DR
Second Line :
City : BARTLESVILLE
State : OK
Zip : 74006-7623
Country : US
Telephone Number : 918-331-9050
Fax Number : 918-331-9059
Authorized Official
Title or Position : CLINICAL DIRECTOR / OWNER
Name : ANGELA KAY METCALF
Credential :
Telephone Number : 918-907-1081
Provider Enumeration Date : 09/22/2016
Last Update Date : 05/04/2023

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