Center for Wholly Living, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3137 Issued in OK

Legal business name

CENTER FOR WHOLLY LIVING, LLC

Practice address

6051 N Brookline Ave
Suite 128
Oklahoma City, OK 73112-4289

Phone

(405) 301-5534

Fax

(866) 346-5666

NPI assigned

Jan 25, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda L Godwin, LCSW

Title

President

Phone

(405) 301-5534

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1205174240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 N BROOKLINE AVE",
            "address_2": "SUITE 128",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124289",
            "telephone_number": "405-301-5534",
            "fax_number": "866-346-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 N BROOKLINE AVE",
            "address_2": "SUITE 128",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124289",
            "telephone_number": "405-301-5534",
            "fax_number": "866-346-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WHOLLY LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-301-5534",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.