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BOLD HEARTS AND SOUND MINDS LLC NPI 1427551860


NPI Information

NPI: 1427551860
Provider Name: BOLD HEARTS AND SOUND MINDS LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1360 S FRETZ DR STE 107
EDMOND, OK
ZIP 73003
Phone: (405) 757-1777
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BOLD HEARTS AND SOUND MINDS LLC is an adult mental health clinic center in Edmond, OK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. BOLD HEARTS AND SOUND MINDS LLC NPI is 1427551860. The provider is registered as an organization entity type.

The provider's business location address is:

1360 S FRETZ DR STE 107
EDMOND, OK
ZIP 73003-869
Phone: (405) 757-1777
Fax: (405) 805-6351

The provider's authorized official is Esther Abigail Bold .
The authorized official title is Ceo and has the following contact phone number (405) 757-1777.

The enumeration date for this NPI number is 3/12/2018 and was last updated on 10/28/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental Health5008OKLAHOMANo
2261QM0850XClinic/CenterAdult Mental Health5008OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200374260AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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