Provider Demographics
NPI:1639856784
Name:COGNITIVE TRANSFORMATIONS
Entity Type:Organization
Organization Name:COGNITIVE TRANSFORMATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCALES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-242-3534
Mailing Address - Street 1:14020 N WESTERN AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-1977
Mailing Address - Country:US
Mailing Address - Phone:405-242-3534
Mailing Address - Fax:405-708-6713
Practice Address - Street 1:14020 N WESTERN AVE STE 105
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-1977
Practice Address - Country:US
Practice Address - Phone:405-242-3534
Practice Address - Fax:405-708-6713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty