Hope Revealed Behavioral Health Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4722 Issued in OK

Legal business name

HOPE REVEALED BEHAVIORAL HEALTH CENTER

Practice address

2218 N Kickapoo Ave
Shawnee, OK 74804-2703

Phone

(405) 596-3833

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Serena Ward, M.ED., LP

Title

Executive Director

Phone

(405) 596-3833

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1053741157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 N KICKAPOO AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042703",
            "telephone_number": "405-596-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 N KICKAPOO AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042703",
            "telephone_number": "405-596-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE REVEALED BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-596-3833",
        "authorized_official_credential": "M.ED., LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "4722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlynne Holliday
• Calee Ann Hollingsworth
• Duffie Holt
• Tyler Lee Holt
• Jeremy Patrick Holter, MD
• Hope Revealed LLC
• Hopkins Dental Clinic, P.L.L.C.
• Jon Eric Hopkins, D.D.S.
• Kristin Hopkins, BSW; BHCM II
• Lela Hopkins

• Community/Behavioral Health Agency in Shawnee, OK
• Providers in Shawnee, 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 Nov 26, 2013; 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.