Provider Demographics
NPI:1770386203
Name:SCRIPTED MIND INC
Entity type:Organization
Organization Name:SCRIPTED MIND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DESMOND
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:KETTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:918-645-6064
Mailing Address - Street 1:3108 S HEMLOCK CT
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-7602
Mailing Address - Country:US
Mailing Address - Phone:918-645-6064
Mailing Address - Fax:918-601-8103
Practice Address - Street 1:3108 S HEMLOCK CT
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-7602
Practice Address - Country:US
Practice Address - Phone:918-645-6064
Practice Address - Fax:918-601-8103
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCRIPTED MIND INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)