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MENTAL WELLNESS SERVICES, LLC

Health Service

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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Contact Information

MENTAL WELLNESS SERVICES, LLC
3605 NW 175TH ST
EDMOND, OK  73012-6901
 Phone: 405-470-1884
 Fax: 405-470-1028
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Health Service

 103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MENTAL WELLNESS SERVICES, LLC

NPI Number 1346660412
LBN Legal business name MENTAL WELLNESS SERVICES, LLC
Authorized official DENISE CATO - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/16/2014
Last updated 04/16/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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