Healthcare Provider Details
I. General information
NPI: 1437083045
Provider Name (Legal Business Name): RESILIENT MINDFULNESS CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8333 SE 15TH ST STE D
MIDWEST CITY OK
73110-8145
US
IV. Provider business mailing address
8333 SE 15TH ST STE D
MIDWEST CITY OK
73110-8145
US
V. Phone/Fax
- Phone: 405-650-1713
- Fax: 405-516-8507
- Phone: 405-650-1713
- Fax: 405-516-8507
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARISHA
DAWSON
Title or Position: APRN
Credential: DNP
Phone: 405-650-1713