Addiction & Behavioral Health Specialist Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4666 Issued in OK

Legal business name

ADDICTION & BEHAVIORAL HEALTH SPECIALIST INCORPORATED

Practice address

2905 S Harr Dr Ste 103
Midwest City, OK 73110-3049

Phone

(405) 568-2744

NPI assigned

Aug 30, 2016

Last updated

Aug 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Brown

Title

Ceo/Therapist

Phone

(405) 568-2744

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1962958900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94872",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731434872",
            "telephone_number": "405-568-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 S HARR DR STE 103",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103049",
            "telephone_number": "405-568-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION & BEHAVIORAL HEALTH SPECIALIST INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "405-568-2744",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "4666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.