| Healthy Mindset Therapy | |
|
11740 S 129th East Ave Broken Arrow OK 74011-1901 | |
| (918) 268-8864 | |
| Not Available |
| Full Name | Healthy Mindset Therapy |
|---|---|
| Speciality | Counselor |
| Location | 11740 S 129th East Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Stacie Lorinda Ridley (OWNER) |
| Authorized Official Contact | 9186402840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Mindset Therapy 11740 S 129th East Ave Broken Arrow OK 74011-1901 Ph: (918) 640-2840 | Healthy Mindset Therapy 11740 S 129th East Ave Broken Arrow OK 74011-1901 Ph: (918) 268-8864 |
| NPI Number | 1982302600 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982302600 | NPI | - | NPPES |
| 1922596295 | Medicaid | OK | |
| 1982302600 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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