Organization · Type 2 NPI

Blue Heaven Therapy, L.l.c.

Professional Counselor · Seminole, OK

NPI number 1750050217 Active

Practice location

400 Timmons St.
Seminole, OK 74868

Call (405) 220-7165 Map

Fax (405) 382-2890

Mailing address

1731 Lewis Ave
Seminole, OK 74868-3615

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	None listed

Professional Counselor: Definition to come...

NPI record

NPI: 1750050217
Entity type: Organization (Type 2)
Issued: Sep 8, 2021
Last updated: Aug 10, 2026
Status: Active

Other names

<unavail>
Jennifer Cheatham, LPC · doing business as
Jennifer Cheatham, LPC · doing business as

Authorized official

Jennifer L Cheatham, MSPS, LPC
Director
(405) 220-7165

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About NPI 1750050217

Blue Heaven Therapy, L.l.c.'s National Provider Identifier is 1750050217, issued on Sep 8, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Seminole, OK. The record was last updated on Aug 10, 2026.