Organization Active NPI

The Mecca Wellness LLC

  • Social Worker
  • Edmond, OK
National Provider Identifier
1750218533
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
THE MECCA WELLNESS LLC
Practice address
614 NW 175TH St Unit a
Edmond, OK 73012-0684
Phone
(405) 695-1874
NPI assigned
May 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Shatera LandrumNPI 1588053060
Title
Owner
Phone
(405) 695-1874

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

614 NW 175TH St Unit a
Edmond, OK 73012-0684

Mailing address

614 NW 175TH St Unit a
Edmond, OK 73012-0684
Phone (405) 695-1874

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1750218533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 NW 175TH ST UNIT A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730120684",
            "telephone_number": "405-695-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 NW 175TH ST UNIT A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730120684",
            "telephone_number": "405-695-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MECCA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "LANDRUM",
        "authorized_official_first_name": "SHATERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-695-1874"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.