NPI 1104721562

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Practice address

2500 McGee Dr
Norman, OK 73072-6722

Phone

(405) 563-0485

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Holli Logsdon, LPCNPI 1407682180

Title

Owner

Phone

(405) 312-8971

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Vitality Wellness

  • Health Service Clinic/Center
  • Oklahoma City, OK
  • NPI 1164866737
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Holli Logsdon, LPC

  • Counselor
  • Norman, OK
  • NPI 1407682180
  NPD (past) Authorized official

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1104721562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721232",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704940",
            "telephone_number": "405-563-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MCGEE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730726722",
            "telephone_number": "405-563-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "LOGSDON",
        "authorized_official_first_name": "HOLLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-312-8971",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 24TH Place LLC
• 2J Dental Edge of Norman PLLC (Dental Edge of Norman)
• 4 Un Counseling
• 4Un Counseling Center PLLC
• A Path of Care Hospice I, LLC (TenderCare Hospice)

• Adult Mental Health Clinic/Center in Norman, OK
• Providers in Norman, OK by specialty
• Adult Mental Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.