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Personal Revolutions Behavioral Health Services, Llc
Professional Counselor in Oklahoma City, Oklahoma
NPI 1164939765

Personal Revolutions Behavioral Health Services, Llc is a Professional Counselor based in Oklahoma City, OK and is specialized in Professional. Personal Revolutions Behavioral Health Services, Llc practices in Oklahoma City, OK. The NPI Number for Personal Revolutions Behavioral Health Services, Llc is 1164939765 and holds a License No. 6323 (Oklahoma).

The current practice location address for Personal Revolutions Behavioral Health Services, Llc is 6801 S Western Ave Ste 101, Oklahoma City, OK and can be reached out via phone at 405-550-2688 and via fax at 405-619-3924.

Location: 6801 S Western Ave Ste 101, Oklahoma City, OK, 73139-1816
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Provider Profile Details
NPI Number
1164939765
Provider Name
Personal Revolutions Behavioral Health Services, Llc
Credential
Provider Entity Type
Organization
Address
6801 S Western Ave Ste 101, Oklahoma City, OK, 73139-1816
Phone Number
405-550-2688
Fax Number
405-619-3924
Provider Enumeration Date
01/04/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2003754400B 05 OK
200781380A 05 OK
institution
Provider Business Practice Location Address Details
Address
6801 S Western Ave Ste 101
City
State
Zip
73139-1816
Phone Number
405-550-2688
Fax Number
405-619-3924
person
Provider Business Mailing Address Details
Address
6801 S Western Ave Ste 101
City
State
Zip
73139-1816
Phone Number
405-550-2688
Fax Number
405-619-3924
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6323 (Oklahoma)
Definition
Definition to come...
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