Provider Demographics
NPI:1477930634
Name:MINDVIEW
Entity type:Organization
Organization Name:MINDVIEW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:AL
Authorized Official - Last Name:KILPATRICK
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS
Authorized Official - Phone:918-824-5009
Mailing Address - Street 1:202 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:ADAIR
Mailing Address - State:OK
Mailing Address - Zip Code:74330-2000
Mailing Address - Country:US
Mailing Address - Phone:918-824-5009
Mailing Address - Fax:918-785-5659
Practice Address - Street 1:202 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:ADAIR
Practice Address - State:OK
Practice Address - Zip Code:74330-2000
Practice Address - Country:US
Practice Address - Phone:918-824-5009
Practice Address - Fax:918-785-5659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health