Organization
BA WELLNESS SERVICES, LLC
Active
Other names
Transformation Counseling Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RAY CORDLE JR. LPC (LLC OWNER MANAGER)
(539) 260-6873
Entity
Organization
Contact information
Practice address
100 W MAIN ST FL 4, PAWHUSKA, OK 74056-4149
(918) 287-5420
(918) 287-5234
Mailing address
604 HICKORY DR, CLEVELAND, OK 74020-1002
(918) 850-6503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5951
OK
Other
Enumeration date
08/28/2017
Last updated
08/17/2023
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