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Healthy Mindset Therapy

Counselor in Broken Arrow, OK. Organization (NPI-2).

NPI number1982302600
StatusActive
Last updated in NPPESJul 6, 2023

Details

NPI
1982302600
Entity type
Organization (NPI-2)
Legal business name
Healthy Mindset Therapy
Organization subpart
No
Enumeration date
Feb 21, 2023
Certification date
Jul 6, 2023
Last updated
Jul 6, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

11740 S 129th East Ave
Broken Arrow, OK 74011-1901

Phone 918-268-8864

Mailing address

11740 S 129th East Ave
Broken Arrow, OK 74011-1901

Phone 918-640-2840

Authorized official

Stacie Lorinda Ridley
Owner
9186402840

Is something wrong?

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