NPIMap

Organization Active NPI

The Mind, Heart & Soul Counseling Enrichment Organization, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawton, OK
National Provider Identifier
1346750569
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE MIND, HEART & SOUL COUNSELING ENRICHMENT ORGANIZATION, LLC
Practice address
1317 SW Washington Ave
Lawton, OK 73501-7231
Phone
(580) 699-7654
Fax
(580) 699-8400
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Authorized official

Name
Dr. Sheila Thelma Hodge-Windover, PHDNPI 1538488184
Title
Clinical Director
Phone
(580) 699-7654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1317 SW Washington Ave
Lawton, OK 73501-7231

Mailing address

PO Box 7990
Lawton, OK 73506-1990
Phone (580) 699-7654

National Provider Directory

National Provider Directory

Locations

1317 SW Washington Ave
Lawton, OK 73501
Phone (580) 699-7654

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1346750569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7990",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735061990",
            "telephone_number": "580-699-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 SW WASHINGTON AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735017231",
            "telephone_number": "580-699-7654",
            "fax_number": "580-699-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MIND, HEART & SOUL COUNSELING ENRICHMENT ORGANIZATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "HODGE-WINDOVER",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "THELMA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "580-699-7654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.