Organization
LASTING CHANGE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAI-AN TRUONG LPC, LADC (OWNER)
(405) 237-5782
Entity
Organization
Contact information
Practice address
10600 S PENN AVE STE 16-915, OKLAHOMA CITY, OK 73170-4256
(405) 237-5782
Mailing address
10600 S PENN AVE STE 16-915, OKLAHOMA CITY, OK 73170-4256
(405) 237-5782
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
4691
OK
Other
Enumeration date
06/24/2017
Last updated
01/02/2023
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