| Transformation Behavioral Health Services, Llc | |
|
7633 E 63rd Pl Ste 345 Tulsa OK 74133-1273 | |
| (918) 884-7549 | |
| (918) 459-4500 |
| Full Name | Transformation Behavioral Health Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7633 E 63rd Pl Ste 345, Tulsa, Oklahoma |
| Authorized Official Name and Position | Ann L Frempong (PRESIDENT/ OWNER/THERAPIST) |
| Authorized Official Contact | 9182824465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation Behavioral Health Services, Llc Po Box 700844 Tulsa OK 74170-0844 Ph: (918) 282-4465 | Transformation Behavioral Health Services, Llc 7633 E 63rd Pl Ste 345 Tulsa OK 74133-1273 Ph: (918) 884-7549 |
| NPI Number | 1376150136 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 09/25/2020 |
| Certification Date | 09/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376150136 | NPI | - | NPPES |
| 1578846416 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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