NPI 1174824916 · live from the CMS NPI Registry
Leslie Broadhead, LMFT
Marriage & Family Therapist in Midwest City, OK. National Provider Identifier 1174824916, active.
NPI record
| NPI | 1174824916 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 1390 S Douglas Blvd, Midwest City, OK 73130 |
| Practice phone | 405-441-1996 |
| Enumerated | November 10, 2010 |
| Last updated | December 22, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 1114 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.