Provider Demographics
NPI:1447095484
Name:RIDGWAY INVESTMENTS, LLC
Entity type:Organization
Organization Name:RIDGWAY INVESTMENTS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHYLAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:RIDGWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LICSW
Authorized Official - Phone:405-776-9950
Mailing Address - Street 1:218 REITER CIR
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-6411
Mailing Address - Country:US
Mailing Address - Phone:405-776-9950
Mailing Address - Fax:877-265-2920
Practice Address - Street 1:5350 S WESTERN AVE STE 734
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-4535
Practice Address - Country:US
Practice Address - Phone:405-776-9950
Practice Address - Fax:877-265-2920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty