Lifechange Psychological Services, Llc

LBN: Lifechange Psychological Services, Llc
Lifechange Psychological Services, Llc is an health care organization with primary practice located at 4117 Nw 122Nd St Ste A1 , Oklahoma City OK 73120-8819. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as the primary health care specialty. Lifechange Psychological Services, Llc can be contacted via phone (405) 562-9260, or through Edgington, Chuck via phone (405) 315-5756.

Contact Information

Primary practice address
4117 Nw 122Nd St Ste A1 Oklahoma City OK 73120-8819
Phone: (405) 562-9260
Fax: (405) 260-9559
Website:
Map and Directions
Authorized official contact:
Name: Edgington, Chuck PH.D.
Phone: (405) 315-5756

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1088 Oklahoma

Profile Details

NPI number 1295250207
LBN Legal business name Lifechange Psychological Services, Llc
DBA Doing business as
Authorized official Edgington, Chuck PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2017
Last updated Jan 23rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295250207 NPPES
Oklahoma MEDICAID 200254090A

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