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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
1101YP2500XProfessional Counselor5127OK

General Provider Information

NPI Number : 1558778928
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 : SUITE 8
City : BARTLESVILLE
State : OK
Zip : 74006-7623
Country : US
Telephone Number : 918-907-1081
Fax Number : 918-516-0442
Provider Business Practice Location Address
First Line : 3650 CAMELOT DR
Second Line : SUITE 8
City : BARTLESVILLE
State : OK
Zip : 74006-7623
Country : US
Telephone Number : 918-907-1081
Fax Number : 918-516-0442
Authorized Official
Title or Position : CHILDREN'S THERAPIST/DIRECTOR
Name : MRS. ANGELA KAY METCALF
Credential : MA., LPC
Telephone Number : 918-907-1081
Provider Enumeration Date : 07/17/2014
Last Update Date : 07/17/2014

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