| Grand Mental Health | |
|
1313 W Ferguson Ave Blackwell OK 74631-5604 | |
| (580) 789-3100 | |
| (580) 956-8218 |
| Full Name | Grand Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1313 W Ferguson Ave, Blackwell, Oklahoma |
| Authorized Official Name and Position | Larry Smith (CEO) |
| Authorized Official Contact | 9182731841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Mental Health 114 W Delaware Ave Nowata OK 74048-2601 Ph: (918) 273-1841 | Grand Mental Health 1313 W Ferguson Ave Blackwell OK 74631-5604 Ph: (580) 789-3100 |
| NPI Number | 1831770676 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831770676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 W Ferguson Ave, Blackwell, OK 74631 Phone: 580-789-3100 Fax: 580-956-8218 | |
Arise Above Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 S 1st St Ste A, Blackwell, OK 74631 Phone: 580-670-0050 |