Organization
SIGNATURE TRANSFORMATION COUNSELING SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JEANETTE M SMITH MA (EXECUTIVE DIRECTOR)
(405) 242-5082
Entity
Organization
Contact information
Practice address
433 WILSHIRE BOULEVARD, SUITE B, OKLAHOMA CITY, OK 73116-7777
(405) 824-9252
Mailing address
433 WILSHIRE BOULEVARD, SUITE B, OKLAHOMA CITY, OK 73116
(405) 824-9252
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3606
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
3606
OK
101YM0800X
Mental Health Counselor
3606
OK
101YP1600X
Pastoral Counselor
3606
OK
101YP2500X
Professional Counselor
3606
OK
106H00000X
Marriage & Family Therapist
3606
OK
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/01/2008
Last updated
01/29/2010
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