Halidom PHW PLLC

Primary specialty

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

Legal business name

HALIDOM PHW PLLC

Doing business as

Halidom Psychiatric Health and Wellness

Practice address

8333 SE 15TH St
Midwest City, OK 73110-8145

Phone

(405) 299-8156

Fax

(405) 643-4279

NPI assigned

Jun 16, 2025

Organization subpart

No

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

Authorized official

Name

Courtney Bowler, PMHNP/FNPNPI 1952024259

Title

Aprn

Phone

(405) 299-8156

Specialties & licenses 5

Addresses

Other names 1

• Halidom Psychiatric Health and Wellness Doing business as

Locations

Practitioners 1

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

• Courtney Bowler, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Midwest City, OK
  • NPI 1952024259
  NPD Authorized official

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1437045465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 SE 15TH ST",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731108145",
            "telephone_number": "405-299-8156",
            "fax_number": "405-643-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 SE 15TH ST",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731108145",
            "telephone_number": "405-299-8156",
            "fax_number": "405-643-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIDOM PHW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "BOWLER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "405-299-8156",
        "authorized_official_credential": "PMHNP/FNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halidom Psychiatric Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Gunn
• Chloe Gurley
• Damon L Guthery, B.S., M.ED
• Lori Guthrie, BCBA
• Alexandra Hale, RBT
• Jessica N Hall, APRN, CNP.
• Mary Audrah Hall
• Adrianna Halstead, RDN
• Joseph Hamati, M.D.
• Christine Hamilton

• Mental Health Clinic/Center (Including Community Mental Health Center) in Midwest City, OK
• Providers in Midwest City, 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 Jun 16, 2025; 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.