| Grand Mental Health | |
|
407 W South Ave Ponca City OK 74601-6133 | |
| (580) 308-5515 | |
| (580) 749-5792 |
| Full Name | Grand Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 407 W South Ave, Ponca City, 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 407 W South Ave Ponca City OK 74601-6133 Ph: (580) 308-5515 |
| NPI Number | 1043842370 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043842370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Edwin Fair Community Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 N 5th St, Ponca City, OK 74601 Phone: 580-762-7561 Fax: 580-762-2576 | |
Kara M. Smith, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Fairview Ave, Suite 1, Ponca City, OK 74601 Phone: 580-382-5772 Fax: 580-382-5731 | |
Laura Peitz Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1912 Lake Rd, Ponca City, OK 74604 Phone: 580-762-6511 Fax: 580-762-6511 | |
Edwin Fair Community Mental Health Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 N 6th St, Ponca City, OK 74601 Phone: 580-762-7561 Fax: 580-762-2576 | |
Suzan B. Simmons, Ph.d,,pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 Lake Rd, Ponca City, OK 74604 Phone: 580-761-3799 | |
Soaring Heights Mental Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Summers Pl, Ponca City, OK 74604 Phone: 406-998-8390 |