The Mind, Heart & Soul Counseling Enrichment Organization, LLC

NPI #1346750569 in Lawton, Oklahoma

Provider Information

NPI Number: 1346750569
Entity Type: Organization
Organization Name: The Mind, Heart & Soul Counseling Enrichment Organization, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 2, 2017
Last Updated: Oct 2, 2017

Practice Location

Address: 1317 SW WASHINGTON AVE
City: Lawton
State: Oklahoma
ZIP Code: 73501-7231
Phone: (580) 699-7654

Authorized Official

Name: DR. SHEILA THELMA HODGE-WINDOVER, PHD
Title: CLINICAL DIRECTOR
Phone: (580) 699-7654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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