Heart Mind & Soul Counseling Agency

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEART MIND & SOUL COUNSELING AGENCY

Practice address

301 W Main St Ste 302
Ardmore, OK 73401-6322

Phone

(580) 319-5264

Fax

(844) 769-4938

NPI assigned

Oct 3, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Tripr Stemmons Self

Title

Office Manager

Phone

(580) 319-5264

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1831664077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST STE 302",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016322",
            "telephone_number": "580-319-5264",
            "fax_number": "844-769-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST STE 302",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016322",
            "telephone_number": "580-319-5264",
            "fax_number": "844-769-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART MIND & SOUL COUNSELING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "TRIPR",
        "authorized_official_middle_name": "STEMMONS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-319-5264",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.