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Provider Information for 1841680030


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PROFESSIONAL STANDARDS OF CARE, LLC

Organization Subpart: NO

NPI: 1841680030
Last Updated: 2015-02-06
Certification Date:

Details

NameValue
NPI1841680030
Enumeration Date2015-01-27
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: Ms. REMONICA THOMAS MHR LPC
Title: CEO
Phone: 9183606577
Mailing Address P.O. BOX 141364
BROKEN ARROW, OK 74014-8850
United States

Phone: | Fax:
 
Primary Practice Address 840 S ASPEN AVE
SUITE F
BROKEN ARROW, OK 74012-4803
United States

Phone: 918-360-6577 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193200000X - Multi-Specialty Group
101YP2500X - Counselor - Professional
OK3164