Organization
INTENTIONAL PATHS TO RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY S HARRISON LCSW, LADC/MH (OWNER)
(405) 625-0710
Entity
Organization
Contact information
Practice address
5509 MAIN ST STE 103, DEL CITY, OK 73115-5511
(405) 627-9308
Mailing address
2000 EASTRIDGE PL, OKLAHOMA CITY, OK 73141-2226
(405) 625-0710
(405) 796-7328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
12/06/2024
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