Provider Demographics
NPI:1366682015
Name:A CORD OF THREE STRANDS PRODUCTIONS, INC
Entity Type:Organization
Organization Name:A CORD OF THREE STRANDS PRODUCTIONS, INC
Other - Org Name:ACOTS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:C
Authorized Official - Middle Name:F
Authorized Official - Last Name:KIMBERLING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-842-0684
Mailing Address - Street 1:DEPT 96 0368
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-0368
Mailing Address - Country:US
Mailing Address - Phone:405-842-0684
Mailing Address - Fax:405-691-6499
Practice Address - Street 1:3035 NW 63RD STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3632
Practice Address - Country:US
Practice Address - Phone:405-842-0684
Practice Address - Fax:405-691-6499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty