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institution
Blooming Mind Pllc
Mental Health Clinic/Center (Including Community Mental Health Center) in Jenks, Oklahoma
NPI 1376253682

Blooming Mind Pllc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Jenks, OK and is specialized in Mental Health (Including Community Mental Health Center). Blooming Mind Pllc practices in Jenks, OK. The NPI Number for Blooming Mind Pllc is 1376253682 and holds a License No. (Oklahoma).

The current practice location address for Blooming Mind Pllc is 715 W Main St Ste L, Jenks, OK and can be reached out via phone at 918-280-9166.

Location: 715 W Main St Ste L, Jenks, OK, 74037-3553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376253682
Provider Name
Blooming Mind Pllc
Credential
Provider Entity Type
Organization
Address
715 W Main St Ste L, Jenks, OK, 74037-3553
Phone Number
918-280-9166
Fax Number
Provider Enumeration Date
11/28/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200892560A 05 OK
institution
Provider Business Practice Location Address Details
Address
715 W Main St Ste L
City
Jenks
State
Oklahoma
Zip
74037-3553
Phone Number
918-280-9166
Fax Number
person
Provider Business Mailing Address Details
Address
715 W Main St Ste L
City
Jenks
State
Oklahoma
Zip
74037-3553
Phone Number
918-280-9166
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
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Definition
Definition to come...
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