Organization
PRIMARY THERAPEUTIC SERVICES, LLC
Active
Organization
PRIMARY THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANNING LEE CHAMBERLAIN LPC (EXECUTIVE DIRECTOR)
(405) 413-5121
Entity
Organization
Contact information
Practice address
3140 W BRITTON RD STE 201, OKLAHOMA CITY, OK 73120
(405) 607-6292
(405) 607-6307
Mailing address
3140 W BRITTON RD STE 201, OKLAHOMA CITY, OK 73120-2039
(405) 607-6292
(405) 607-6307
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6005
OK
Other
Enumeration date
05/15/2013
Last updated
09/04/2018
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