Emdr Solutions LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EMDR SOLUTIONS LLC

Practice address

1013 15TH Ave NW
Ardmore, OK 73401-1810

Phone

(580) 246-4207

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Joseph R Eatherly, MS, LPC-SNPI 1720303134

Title

Owner

Phone

(580) 320-5633

Specialties & licenses 2

Addresses

Practitioners 1

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

• Joseph Robert Eatherly, LPC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1720303134
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1346935848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S OHIO ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603229",
            "telephone_number": "580-320-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 15TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011810",
            "telephone_number": "580-246-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMDR SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "EATHERLY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-320-5633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LPC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmbrook Home, Inc.
• Travis Elmore
• Whitney Dawn Elmore, B.A
• Rachel Irene Elrod
• Alicia Elzy
• Jennifer Lynn English
• Carol Lynn Enkoji, PT
• Envision
• Page Epperly
• Eric R.Castillo DDS, P.C.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.