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Legacy's Impact Intervention L.l.c
Adolescent and Children Mental Health Clinic/Center in Bartlesville, Oklahoma
NPI 1336770627

Legacy's Impact Intervention L.l.c is an Adolescent and Children Mental Health Clinic/Center based in Bartlesville, OK and is specialized in Adolescent and Children Mental Health. Legacy's Impact Intervention L.l.c practices in Bartlesville, OK. The NPI Number for Legacy's Impact Intervention L.l.c is 1336770627 and holds a License No. (Oklahoma).

The current practice location address for Legacy's Impact Intervention L.l.c is 3606 Idaho Ave, Bartlesville, OK and can be reached out via phone at 918-766-6998.

Location: 3606 Idaho Ave, Bartlesville, OK, 74006-2420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336770627
Provider Name
Legacy's Impact Intervention L.l.c
Credential
Provider Entity Type
Organization
Address
3606 Idaho Ave, Bartlesville, OK, 74006-2420
Phone Number
918-766-6998
Fax Number
Provider Enumeration Date
01/27/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3606 Idaho Ave
City
Bartlesville
State
Oklahoma
Zip
74006-2420
Phone Number
918-766-6998
Fax Number
person
Provider Business Mailing Address Details
Address
3606 Idaho Ave
City
Bartlesville
State
Oklahoma
Zip
74006-2420
Phone Number
918-766-6998
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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