Organization
HALIDOM PHW PLLC
Active
Other names
Halidom Psychiatric Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY BOWLER PMHNP/FNP (APRN)
(405) 299-8156
Entity
Organization
Contact information
Practice address
8333 SE 15TH ST, MIDWEST CITY, OK 73110-8145
(405) 299-8156
(405) 643-4279
Mailing address
8333 SE 15TH ST, MIDWEST CITY, OK 73110-8145
(405) 299-8156
(405) 643-4279
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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