Seasons of Change Behavioral Health Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4267 Issued in OK

Legal business name

SEASONS OF CHANGE BEHAVIORAL HEALTH SERVICES, INC.

Practice address

1019 Waterwood Pkwy Ste E
Edmond, OK 73034-5329

Phone

(405) 726-9808

Fax

(405) 726-9809

NPI assigned

Oct 13, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lorien Holman, LPC

Title

Ceo

Phone

(405) 519-1096

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1013388339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 WATERWOOD PKWY STE E",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345329",
            "telephone_number": "405-726-9808",
            "fax_number": "405-726-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 WATERWOOD PKWY STE E",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345329",
            "telephone_number": "405-726-9808",
            "fax_number": "405-726-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS OF CHANGE BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "LORIEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-519-1096",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Edmond, OK
• Providers in Edmond, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.