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Organization
THE MIND, HEART & SOUL COUNSELING ENRICHMENT ORGANIZATION, LLC
Active
Organization
THE MIND, HEART & SOUL COUNSELING ENRICHMENT ORGANIZATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA THELMA HODGE-WINDOVER PHD (CLINICAL DIRECTOR)
(580) 699-7654
Entity
Organization
Contact information
Practice address
1317 SW WASHINGTON AVE, LAWTON, OK 73501-7231
(580) 699-7654
(580) 699-8400
Mailing address
PO BOX 7990, LAWTON, OK 73506-1990
(580) 699-7654
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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