Provider Demographics
NPI:1134140213
Name:THERAPEUTIC RESOLUTIONS INC
Entity Type:Organization
Organization Name:THERAPEUTIC RESOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDELL
Authorized Official - Middle Name:G
Authorized Official - Last Name:TOUCHATT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW PHD
Authorized Official - Phone:405-895-6101
Mailing Address - Street 1:8241 S WALKER AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-9401
Mailing Address - Country:US
Mailing Address - Phone:405-895-6101
Mailing Address - Fax:405-895-9933
Practice Address - Street 1:8241 S WALKER AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-9401
Practice Address - Country:US
Practice Address - Phone:405-895-6101
Practice Address - Fax:405-895-9933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Not Answered261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKS04919Medicare UPIN