THE MIND, HEART & SOUL COUNSELING ENRICHMENT ORGANIZATION, LLC (NPI# 1346750569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346750569 |
| Entity Type | Organization |
| Organization Name | THE MIND, HEART & SOUL COUNSELING ENRICHMENT ORGANIZATION, LLC |
| Practice Address |
1317 Sw Washington Ave Lawton OK 73501-7231 |
| Mailing Address |
Po Box 7990 Lawton OK 73506-1990 |
| Practice Telephone | 5806997654 |
| Practice Fax Number | 5806998400 |
| Mailing Telephone | 5806997654 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |
| Authorized Official Name | DR. SHEILA THELMA HODGE-WINDOVER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5806997654 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1317 SW WASHINGTON AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-7231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922660570 | Ciara Renee Jerez | Marriage & Family Therapist | 1317 Sw Washington Ave, Lawton, OK 73501-7231 | 2019-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1487289252 | Compass Counseling Services, LLC | Clinic/Center | 305 Tara Way, Lawton, IA 51030-1026 | 2020-03-11 |
| 1033279443 | Providence Service Corporation of Oklahoma | Clinic/Center | 4645 W Gore Blvd Ste 5, Lawton, OK 73505-5962 | 2006-12-08 |
| 1568027118 | Powers & Powers, Inc | Clinic/Center | 1930 Nw Ferris Ave Ste 4, Lawton, OK 73507-5629 | 2019-05-08 |
| 1194241240 | Mistie Lynn Farmer | Clinic/Center | 602 Sw 38th St, Lawton, OK 73505-6912 | 2017-08-21 |
| 1154877561 | Anthony Mans | Clinic/Center | 808 Nw 35th St, Lawton, OK 73505-5120 | 2016-08-27 |
| 1629400288 | Yco Tulsa, Inc. | Clinic/Center | 602 Sw A Ave, Lawton, OK 73501-3930 | 2013-08-06 |
| 1417059460 | Christian Family Counseling Center Inc | Clinic/Center | 5002 Sw Lee Blvd, Lawton, OK 73505 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
| 1144842923 | Forth Star Counseling LLC | Clinic/Center | 5350 S Western Ave Ste 731, Oklahoma City, OK 73109-4520 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.