THE MIND HEART & SOUL COUNSELING ENRICHMENT ORGANIZATION LLC NPI 1346750569

NPI Information

NPI: 1346750569
Provider Name: THE MIND, HEART & SOUL COUNSELING ENRICHMENT ORGANIZATION, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1317 SW WASHINGTON AVE
LAWTON, OK
ZIP 73501
Phone: (580) 699-7654
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THE MIND, HEART & SOUL COUNSELING ENRICHMENT ORGANIZATION, LLC is a mental health (including community mental health center) clinic center in Lawton, OK. THE MIND, HEART & SOUL COUNSELING ENRICHMENT ORGANIZATION, LLC NPI is 1346750569. The provider is registered as an organization entity type.

The provider's business location address is:

1317 SW WASHINGTON AVE
LAWTON, OK
ZIP 73501-231
Phone: (580) 699-7654
Fax: (580) 699-8400

The provider's authorized official is Sheila Thelma Hodge-windover .
The authorized official title is Clinical Director and has the following contact phone number (580) 699-7654.

The enumeration date for this NPI number is 10/2/2017 and was last updated on 10/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

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This page was last updated on: 4/28/2024

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