Organization
MINDFUL HEALING THERAPY LLC
Active
Parent organization
KIMBERLY BOREN
Other names
Kimberly Boren
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIMBERLY BOREN
Authorized official
KIMBERLY HUSTING LCSW (LICENSED CLINICAL SOCIAL WORKER)
(918) 973-2451
Entity
Organization
Contact information
Practice address
1306 W BROADWAY ST, ARDMORE, OK 73401-2838
(918) 973-2451
Mailing address
1421 3RD AVE SW, ARDMORE, OK 73401-3217
(918) 973-2451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
10/15/2023
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