Organization
LIFE CHANGES WELLNESS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WINSTON (ADMINISTRATOR)
(405) 312-6826
Entity
Organization
Contact information
Practice address
201 ROBERT S KERR AVE STE 901A, OKLAHOMA CITY, OK 73102-4204
(405) 407-7776
Mailing address
705 S MUSTANG RD STE 211, YUKON, OK 73099-6778
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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