TRANSFORMATION THERAPEUTIC COUNSELING SERVICES, LLC (NPI# 1154839983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154839983 |
| Entity Type | Organization |
| Organization Name | TRANSFORMATION THERAPEUTIC COUNSELING SERVICES, LLC |
| Practice Address |
316 S Hayes Ave Ste D Wagoner OK 74467-5531 |
| Practice Telephone | 9186987134 |
| Practice Fax Number | 9184854317 |
| Mailing Telephone | 9186987134 |
| Mailing Fax Number | 9184854317 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |
| Authorized Official Name | MELISSA ANN MCDARIS (THERAPIST/OWNER) |
| Authorized Official Telephone | 9186987134 |
| Authorized Official Credential | LPC, LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
5299 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1700915337 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | TRANSFORMATION THERAPEUTIC COUNSELING SERVICES, LLC | 32598 E 713 Rd, Wagoner, OK 74467 |
| Street Address |
316 S HAYES AVE STE D |
| City | WAGONER |
| State | OK |
| Zip Code | 74467-5531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251591 | Alesha Lenard | Behavior Technician | 901 S. Harrill Ave, Wagoner, OK 74467 | 2019-08-20 |
| 1679030597 | Lorri Dawn Pitchford | Case Manager/Care Coordinator | Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 | 2019-02-27 |
| 1144769399 | Elaina Murray | Technician | 308 Ne 2nd St., Wagoner, OK 74467 | 2017-02-21 |
| 1336699784 | Tommye Evidson | Counselor | 109 Harrill Ave, Wagoner, OK 74467 | 2016-10-10 |
| 1518327857 | Yco Tulsa, Inc | Clinic/Center | 1101a South Mcquarrie, Wagoner, OK 74467 | 2016-02-29 |
| 1396117545 | Sandra Cooper | Behavioral Analyst | 2109 Us-69, Wagoner, OK 74467 | 2015-10-28 |
| 1588051486 | Penny Nye | Counselor | 2109 S.hwy 69, Wagoner, OK 74467 | 2015-04-20 |
| 1376943571 | Justin F Kurtz | Respiratory Therapist, Certified | 1200 W. Cherokee, Suite H Cardiac/pulmonary Rehab, Wagoner, OK 74467 | 2014-08-26 |
| 1780009969 | David H Good | Family Medicine | 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 | 2014-02-25 |
| 1942598875 | Robin Rodriguez-higginbottom | Speech-Language Pathologist | 215 E Cherokee St, Wagoner, OK 74467 | 2011-07-12 |
| Find all providers in zip 74467 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276133 | Samantha Johnette Sowers | Counselor | 404 S Monroe Ave, Wagoner, OK 74467-6200 | 2020-08-17 |
| 1043778061 | Kamilah Scroggins | Counselor | 68512 S 310 Rd, Wagoner, OK 74467-6276 | 2019-03-08 |
| 1609288646 | Robert Ray | Counselor | 74502 S 280 Rd, Wagoner, OK 74467-7496 | 2014-05-26 |
| 1710291109 | Stephanie Ellen Horton | Counselor | 914 Sw 9th St, Wagoner, OK 74467-6816 | 2010-07-28 |
| 1871738757 | Tamra Mosher-bacon | Counselor | 404 W Cherokee St Ste A, Wagoner, OK 74467-4627 | 2008-12-08 |
| 1528171022 | Jimmy Todd Self | Counselor | 32270 E 722 Dr, Wagoner, OK 74467-7411 | 2006-08-17 |
| 1740834621 | Jordyn Nichelle Wright | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2019-07-29 |
| 1073078010 | Garrette Lee Mcclure | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2019-02-04 |
| 1366918914 | Gertrude Grace Haynes | Counselor | 2109 S Highway 69, Wagoner, OK 74467-9310 | 2018-10-22 |
| 1083127070 | Rachel Pentland | Counselor | 2109 S Highway 69, Wagoner, OK 74467-9310 | 2017-11-13 |
| Find all providers in WAGONER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.