Healthcare Provider Details

I. General information

NPI: 1124963814
Provider Name (Legal Business Name): HEARTLINE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 NW 23RD ST STE 78
OKLAHOMA CITY OK
73107-2431
US

IV. Provider business mailing address

2401 NW 23RD ST STE 78
OKLAHOMA CITY OK
73107-2431
US

V. Phone/Fax

Practice location:
  • Phone: 405-840-9396
  • Fax:
Mailing address:
  • Phone: 405-778-6256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARGI PRESTON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 405-778-8135