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Organization
HEALTHY MINDSET THERAPY
Active
Organization
HEALTHY MINDSET THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE LORINDA RIDLEY LPC (OWNER)
(918) 640-2840
Entity
Organization
Contact information
Practice address
11740 S 129TH EAST AVE, BROKEN ARROW, OK 74011-1901
(918) 268-8864
Mailing address
11740 S 129TH EAST AVE, BROKEN ARROW, OK 74011-1901
(918) 640-2840
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922596295
—
OK
05
—
1982302600
—
OK
Enumeration date
02/21/2023
Last updated
07/06/2023
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