| Beyond Reflections Therapeutic Services, Llc | |
|
3750 W Main St Ste 103 Norman OK 73072-4669 | |
| (405) 928-9058 | |
| Not Available |
| Full Name | Beyond Reflections Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3750 W Main St Ste 103, Norman, Oklahoma |
| Authorized Official Name and Position | Bridgitte Bondzie-littlejohn (OWNER) |
| Authorized Official Contact | 4059289058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Reflections Therapeutic Services, Llc Po Box 720206 Norman OK 73070-4157 Ph: (405) 928-9058 | Beyond Reflections Therapeutic Services, Llc 3750 W Main St Ste 103 Norman OK 73072-4669 Ph: (405) 928-9058 |
| NPI Number | 1255717146 |
|---|---|
| Provider Enumeration Date | 08/03/2015 |
| Last Update Date | 07/30/2019 |
| Medicare PECOS PAC ID | 0143513879 |
|---|---|
| Medicare Enrollment ID | O20160722000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255717146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4767 (Oklahoma) | Primary |
| Provider Name | Bridgitte Bondzie-littlejohn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013247055 PECOS PAC ID: 0042514143 Enrollment ID: I20160210001904 |
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