| Bright Transitions, Llc | |
|
4416 N Western Ave Ste 201 Oklahoma City OK 73118-5256 | |
| (405) 820-1810 | |
| (405) 820-1810 |
| Full Name | Bright Transitions, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4416 N Western Ave Ste 201, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Sydney Bright Warren (OWNER) |
| Authorized Official Contact | 4058201810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Transitions, Llc 1535 Nw 38th St Oklahoma City OK 73118-2856 Ph: (405) 820-1810 | Bright Transitions, Llc 4416 N Western Ave Ste 201 Oklahoma City OK 73118-5256 Ph: (405) 820-1810 |
| NPI Number | 1336654573 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 12/11/2017 |
| Medicare PECOS PAC ID | 5092073916 |
|---|---|
| Medicare Enrollment ID | O20171227000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336654573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Oklahoma) | Primary |
| Provider Name | Sydney B Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174742779 PECOS PAC ID: 1456452424 Enrollment ID: I20070720000117 |
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