Organization
BODY, MIND, AND SPIRIT TRANSFORMATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE MILLER (PROVIDER)
(405) 641-7549
Entity
Organization
Contact information
Practice address
1913 NW 157TH ST, EDMOND, OK 73013-1427
(405) 641-7549
Mailing address
1913 NW 157TH ST, EDMOND, OK 73013-1427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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