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HEARTLAND THERAPEUTIC SERVICES LLC NPI 1669945804


NPI Information

NPI: 1669945804
Provider Name: HEARTLAND THERAPEUTIC SERVICES, LLC

Former Legal Business Name: HEARTLAND THERAPEUTIC SERVICES

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
102 W ROGERS BLVD. SKIATOOK
SKIATOOK, OK
ZIP 74070
Phone: (918) 724-4779
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HEARTLAND THERAPEUTIC SERVICES, LLC is a mental health counselor in Skiatook, OK. HEARTLAND THERAPEUTIC SERVICES, LLC NPI is 1669945804. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Heartland Therapeutic Services.

The provider's business location address is:

102 W ROGERS BLVD. SKIATOOK
SKIATOOK, OK
ZIP 74070-407
Phone: (918) 724-4779
Fax: (888) 284-2781

The provider's authorized official is Terrill Paul Watson .
The authorized official title is Owner-counseling and has the following contact phone number (918) 724-4779.

The enumeration date for this NPI number is 1/10/2019 and was last updated on 2/22/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
2101YM0800XCounselorMental HealthYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11407985229OTHEROKLAHOMANPPES

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: 5/5/2024

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