Provider Demographics
NPI:1750648739
Name:CENTER FOR HEALING ONE'S PRIVATE EMOTIONS
Entity Type:Organization
Organization Name:CENTER FOR HEALING ONE'S PRIVATE EMOTIONS
Other - Org Name:CENTER FOR HOPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST/COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:575-749-2416
Mailing Address - Street 1:1211 34TH ST
Mailing Address - Street 2:SUITE #7
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-1807
Mailing Address - Country:US
Mailing Address - Phone:575-749-2416
Mailing Address - Fax:
Practice Address - Street 1:1211 34TH ST
Practice Address - Street 2:SUITE #7
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-1807
Practice Address - Country:US
Practice Address - Phone:575-749-2416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty