Provider Demographics
NPI:1750897518
Name:LIVING HOPE EATING DISORDER TREATMENT CENTER, PLLC
Entity type:Organization
Organization Name:LIVING HOPE EATING DISORDER TREATMENT CENTER, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SCEARS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-830-7337
Mailing Address - Street 1:909 26TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6366
Mailing Address - Country:US
Mailing Address - Phone:405-801-2323
Mailing Address - Fax:
Practice Address - Street 1:3900 E ROBINSON ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73026-0725
Practice Address - Country:US
Practice Address - Phone:405-801-2323
Practice Address - Fax:405-801-2323
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIVING HOPE EATING DISORDER TREATMENT CENTER, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-15
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK=========OtherRESIDENTIAL FACILITY