SHAPE OUR VILLAGE LLC. NPI 1518821172

NPI Information

  • NPI: 1518821172
  • Provider Name: SHAPE OUR VILLAGE, LLC.
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 410 WINDSOR RD
    OKLAHOMA CITY, OK
    ZIP 73130
  • Phone: (619) 201-4747

Map and Directions

Get Directions

NPI Details

SHAPE OUR VILLAGE, LLC. is an adolescent and children mental health clinic center in Oklahoma City, 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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. SHAPE OUR VILLAGE, LLC. NPI is 1518821172. The provider is registered as an organization entity type.

The provider's business location address is:

410 WINDSOR RD
OKLAHOMA CITY, OK
ZIP 73130-943
Phone: (619) 201-4747

The provider's authorized official is Ericka Dawn Braggs .
The authorized official title is Ceo and has the following contact phone number (619) 201-4747.

The enumeration date for this NPI number is 12/9/2025 and was last updated on 12/9/2025.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI