Leslie Broadhead, LMFT
Individual provider Active NPI Marriage & Family Therapist · Midwest City, OK
NPI 1174824916 · NPPES record last updated Dec 22, 2022
Key facts
- NPI
- 1174824916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1114 (OK)
- Practice address
- 1390 S Douglas Blvd
Midwest City, OK 73130-5270 - Phone
- (405) 441-1996
- Fax
- (405) 455-5379
- NPI assigned
- Nov 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1114 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aim True to You, LLC | Current |
Accepting new patients | |
| County of Sedgwick | Past | Accepting new patients |
Locations
1390 S Douglas Blvd
Midwest City, OK 73130
Phone (405) 441-1996
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1114 | OK | Yes |
Addresses
Primary practice location
1390 S Douglas Blvd
Midwest City, OK 73130-5270
Mailing address
1390 S Douglas Blvd
Midwest City, OK 73130-5270
Phone (405) 441-1996
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lesliebroadhead@aimtruetoyou.com | Direct |
Other providers in Midwest City, OK
- Mary Alison Brewer
- Melvyna A. Brewer
- Richard Arnold Brewster
- Charles Austin Brickman
- Mark Briscoe
- Natasha Broadie
- Letta Broadway
- Brock Nichols DDS PLLC
- William Broiles
- Kayla Bronson
All providers in Midwest City, OK · Marriage & Family Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.