Provider Demographics
NPI:1467739029
Name:MORNINGSTAR MENTAL HEALTH
Entity Type:Organization
Organization Name:MORNINGSTAR MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJORS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-650-9769
Mailing Address - Street 1:504 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:HENRYETTA
Mailing Address - State:OK
Mailing Address - Zip Code:74437-5214
Mailing Address - Country:US
Mailing Address - Phone:918-650-9500
Mailing Address - Fax:918-650-9559
Practice Address - Street 1:504 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:HENRYETTA
Practice Address - State:OK
Practice Address - Zip Code:74437-5214
Practice Address - Country:US
Practice Address - Phone:918-650-9500
Practice Address - Fax:918-650-9559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health