Organization
SEASONS OF CHANGE BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIEN OLIVIA HOLMAN LPC (CEO)
(405) 726-9808
Entity
Organization
Contact information
Practice address
409 S FRETZ AVE, SUITE C, EDMOND, OK 73003-5570
(405) 726-9808
(405) 726-9809
Mailing address
409 S FRETZ AVE, SUITE C, EDMOND, OK 73003-5570
(405) 726-9808
(405) 726-9809
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5267
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200639980A
—
OK
Enumeration date
07/11/2014
Last updated
09/01/2016
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