Organization
MENDING MINDS THERAPEUTIC SOLUTIONS, LLC
Active
Other names
Mending Minds
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YAKNO DOUGLAS MHR, LPC (EXECUTIVE DIRECTOR)
(405) 776-4637
Entity
Organization
Contact information
Practice address
2021 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-5523
(405) 776-4637
(405) 731-9018
Mailing address
2021 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-5523
(405) 776-4637
(405) 731-9018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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