| Bent Creek Behavioral Health Services, Pllc | |
|
1116 19th St Woodward OK 73801-2925 | |
| (580) 922-5656 | |
| (580) 922-3261 |
| Full Name | Bent Creek Behavioral Health Services, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1116 19th St, Woodward, Oklahoma |
| Authorized Official Name and Position | Zachery Helterbrake (OWNER) |
| Authorized Official Contact | 5809225612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bent Creek Behavioral Health Services, Pllc Po Box 177 Seiling OK 73663-0177 Ph: (580) 922-5656 | Bent Creek Behavioral Health Services, Pllc 1116 19th St Woodward OK 73801-2925 Ph: (580) 922-5656 |
| NPI Number | 1518623735 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518623735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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