Organization Active NPI

Valor Wellness, LLC

  • Professional Counselor
  • Tishomingo, OK
National Provider Identifier
1982420188
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
VALOR WELLNESS, LLC
Practice address
2706 E Harbert Rd
Tishomingo, OK 73460-4035
Phone
(580) 310-8105
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Brad Thomas Brogdon, LPCNPI 1174862320
Title
Licensed Profession Counselor/Ceo
Phone
(580) 310-8105

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X

Addresses

Primary practice location

2706 E Harbert Rd
Tishomingo, OK 73460-4035

Mailing address

2706 E Harbert Rd
Tishomingo, OK 73460-4035
Phone (580) 310-8105

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": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1982420188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 E HARBERT RD",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734604035",
            "telephone_number": "580-310-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 E HARBERT RD",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734604035",
            "telephone_number": "580-310-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALOR WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "LICENSED PROFESSION COUNSELOR/CEO",
        "authorized_official_telephone_number": "580-310-8105",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tishomingo, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.