Organization
PHASES OF CHANGE INTERVENTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI MICHELLE INDA LCSW (OWNDER)
(918) 852-0416
Entity
Organization
Contact information
Practice address
5001 S 67TH EAST AVE, TULSA, OK 74145-5708
(918) 852-0416
Mailing address
PO BOX 4318, TULSA, OK 74159-0318
(918) 852-0416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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