Organization
EVOLUTION: CHANGING PATHS THROUGH TALK THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY LYNN LINDSTROM MS, LPC (CO-OWNER)
(405) 826-6052
Entity
Organization
Contact information
Practice address
121 W MAIN ST, SUIT 103, MOORE, OK 73160-5136
(405) 826-6052
Mailing address
121 W MAIN ST, SUIT 103, MOORE, OK 73160-5136
(405) 826-6052
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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