Organization
MENDING MINDS THERAPEUTIC SOLUTIONS, LLC
Active
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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