Access Wellness Center of Oklahoma LLC

Primary specialty

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

Legal business name

ACCESS WELLNESS CENTER OF OKLAHOMA LLC

Practice address

3035 NW 63Rd St Ste 200
Oklahoma City, OK 73116-3606

Phone

(405) 816-7735

NPI assigned

May 6, 2019

Organization subpart

No

Name

Jim Hale, LPC LADC-MH

Title

Manage Member

Phone

(405) 816-7735

• Access Wellness Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2019.

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1679138564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 NW 63RD ST STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163606",
            "telephone_number": "405-816-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 NW 63RD ST STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163606",
            "telephone_number": "405-816-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS WELLNESS CENTER OF OKLAHOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "MANAGE MEMBER",
        "authorized_official_telephone_number": "405-816-7735",
        "authorized_official_credential": "LPC LADC-MH"
    },
    "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": [
        {
            "organization_name": "Access Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Oklahoma City, OK
• 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 11, 2019; 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.