Mending Minds Therapeutic Solutions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MENDING MINDS THERAPEUTIC SOLUTIONS, LLC

Doing business as

Mending Minds

Practice address

2021 S Air Depot Blvd
Midwest City, OK 73110-5523

Phone

(405) 776-4637

Fax

(405) 731-9018

NPI assigned

Nov 11, 2020

Last updated

Nov 11, 2020By 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

Mr. Yakno Douglas, MHR, LPC

Title

Executive Director

Phone

(405) 776-4637

Specialties & licenses 4

Addresses

Other names 1

• Mending Minds Doing business as

Locations

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1144822446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 S AIR DEPOT BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731105523",
            "telephone_number": "405-776-4637",
            "fax_number": "405-731-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S AIR DEPOT BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731105523",
            "telephone_number": "405-776-4637",
            "fax_number": "405-731-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING MINDS THERAPEUTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "YAKNO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-776-4637",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHR, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mending Minds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kierstyn Meissner
• Melanie D. Emerson, DDS PC
• Melody Williams, OD, PLLC (Midwest Vision Center)
• Breanna Melot
• Denesha Mendenhall, BS
• Fred Mensah
• Sherman John Menser, D.D.S
• Mercy Hospital Midwest City, Inc
• Mercy Hospital Midwest City, Inc
• Mercy Hospital Midwst City, Inc

• Community/Behavioral Health Agency in Midwest City, OK
• Providers in Midwest 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 Nov 11, 2020; 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.