Restoring the Brokenhearted

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RESTORING THE BROKENHEARTED

Practice address

5131 N Classen Blvd
Oklahoma City, OK 73118-5258

Phone

(405) 706-6081

Fax

(405) 706-6081

NPI assigned

Aug 24, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Janetta R Sledge, LPC

Title

Clinical Director

Phone

(405) 923-5933

Specialties & licenses 1

Addresses

Tax ID family

Restoring the Brokenhearted2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Restoring the Brokenhearted

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1629473863
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1033636683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 N CLASSEN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185258",
            "telephone_number": "405-706-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 N CLASSEN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185258",
            "telephone_number": "405-706-6081",
            "fax_number": "405-706-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING THE BROKENHEARTED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "SLEDGE",
        "authorized_official_first_name": "JANETTA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "405-923-5933",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoration Supply Company
• Restorative Alternative Wellness Inc
• Restorative Counseling Services Inc
• Restorative Mind Therapy LLC
• Restore Family Counseling, LLC
• Restoring the Brokenhearted
• Nicolas Restrepo
• Gabriela Restuccia, DDS
• Retail Clinics, LLC
• Scott Retallack

• Community/Behavioral Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.