# GREAT CHANGES RESOURCE CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174941512
- **Authorized official:** MRS. LAURA L SHOUN OTRL (OWNER)
- **Authorized official phone:** (405) 604-0496

## Contact information

- **Practice address:** 1024 NW 47TH ST, SUITE C, OKLAHOMA CITY, OK 73118-6400
- **Practice address phone:** (405) 604-0496
- **Practice address fax:** (405) 601-3750
- **Mailing address:** PO BOX 720997, OKLAHOMA CITY, OK 73172-0997
- **Mailing address phone:** (405) 604-0496
- **Mailing address fax:** (405) 601-3750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OT223 | OK | Yes |

## Other

- **Enumeration date:** 04/02/2014
- **Last updated:** 04/16/2014