Individual
HEIDI GRACE BAWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 W PEEBLY DR, MIDWEST CITY, OK 73110-1539
(405) 758-1977
Mailing address
1116 W PEEBLY DR, MIDWEST CITY, OK 73110-1539
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
OK
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/08/2025
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