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Organization

LEGACY FAMILY INTERVENTION SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROSHELL DENISE COLLINS LPC (VICE PRESIDENT/THERAPIST)
(918) 237-1141
Entity
Organization

Contact information

Practice address
12525 E 27TH PL, TULSA, OK 74129-8233
(918) 619-6394
(918) 639-6394
Mailing address
12525 E 27TH PL, TULSA, OK 74129-8233
(918) 619-6394
(918) 639-6394

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/03/2013
Last updated
10/03/2013
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