Provider Demographics
NPI:1528518842
Name:MCAFEE, MINDY ELIZABETH
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:ELIZABETH
Last Name:MCAFEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 466
Mailing Address - Street 2:
Mailing Address - City:CEMENT
Mailing Address - State:OK
Mailing Address - Zip Code:73017-0466
Mailing Address - Country:US
Mailing Address - Phone:405-222-0622
Mailing Address - Fax:405-222-0622
Practice Address - Street 1:804 W CHOCTAW AVE
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-2310
Practice Address - Country:US
Practice Address - Phone:405-222-6002
Practice Address - Fax:405-222-6002
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician