LASTING CHANGE THERAPY LLC (NPI# 1639699267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639699267 |
| Entity Type | Organization |
| Organization Name | LASTING CHANGE THERAPY LLC |
| Practice Address |
10317 Greenbriar Pl Ste 400 Oklahoma City OK 73159-7651 |
| Mailing Address |
10317 Greenbriar Pl, Suite 400 Oklahoma City OK 73159 |
| Practice Telephone | 4057577708 |
| Practice Fax Number | 4057577708 |
| Mailing Telephone | 4057577708 |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | THAI-AN TRUONG (OWNER) |
| Authorized Official Telephone | 4057577708 |
| Authorized Official Credential | LPC, LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
4691 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1508169533 | 05 |
| Street Address |
10317 GREENBRIAR PL STE 400 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73159-7651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508169533 | Thai-an Truong | Counselor | 10317 Greenbriar Pl Ste 400, Oklahoma City, OK 73159-7651 | 2010-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
| 1629573407 | Carrie Lynn Sanchez | Case Manager/Care Coordinator | 2604 Sw 92nd Street, Oklahoma City, OK 73159 | 2018-03-26 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1366969933 | Matthew Lewis Hearne | Case Manager/Care Coordinator | 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 | 2017-08-24 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1235511288 | Anusha Koneru | Dentist | 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 | 2015-06-26 |
| 1114347069 | Crystal A Dockery | Family Medicine | 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 | 2014-04-18 |
| 1790121440 | Kimberly Anne Dyer | Occupational Therapy Assistant | 5725 S Ross, Oklahoma City, OK 73159 | 2013-05-21 |
| Find all providers in zip 73159 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801375324 | Hope Restored Counseling LLC | Clinic/Center | 1211 N Shartel Ave Ste 602, Oklahoma City, OK 73103-2445 | 2018-08-07 |
| 1518223502 | Rohit Gautam | Clinic/Center | 9205 S Shartel Ave Apt 201, Oklahoma City, OK 73139-5214 | 2012-04-04 |
| 1629268404 | Hope Counseling Services, Inc | Clinic/Center | 4411 Highline Blvd, Suite 204, Oklahoma City, OK 73108-1865 | 2007-07-27 |
| 1821562919 | Landmark Recovery Outpatient Services, LLC | Clinic/Center | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-01-11 |
| 1164903225 | Megan Rowe LLC | Clinic/Center | 3033 Nw 63rd St Ste 160e, Oklahoma City, OK 73116-3607 | 2018-08-27 |
| 1063939247 | Just A Step Counseling, Pllc | Clinic/Center | 10400 Vineyard Blvd Ste A, Oklahoma City, OK 73120-3830 | 2017-08-28 |
| 1619418902 | Oklahoma Mental Health Council | Clinic/Center | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2017-03-20 |
| 1013462589 | Dynamic Communications Counseling Agency | Clinic/Center | 10325 Greenbriar Pl Ste B, Oklahoma City, OK 73159-7647 | 2016-08-24 |
| 1497117725 | Million Counseling and Professional Development, Pllc | Clinic/Center | 4900 Richmond Sq Ste 107, Oklahoma City, OK 73118-2043 | 2016-03-25 |
| 1194108415 | Jennifer Kavanaugh Lcsw LLC | Clinic/Center | 3035 Nw 63rd St, Suite 200, Oklahoma City, OK 73116-3632 | 2015-07-06 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73159 |
Please comment or provide details below to improve the information on LASTING CHANGE THERAPY LLC.
| 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.