Provider Demographics
NPI:1558605246
Name:CREATING OPTIONS LLC
Entity Type:Organization
Organization Name:CREATING OPTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:LINDSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-838-4740
Mailing Address - Street 1:203 HAL MULDROW DR STE 4A
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-5288
Mailing Address - Country:US
Mailing Address - Phone:405-217-4547
Mailing Address - Fax:
Practice Address - Street 1:203 HAL MULDROW DR STE 4A
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-5288
Practice Address - Country:US
Practice Address - Phone:405-217-4547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty