| Grand Mental Health | |
|
109 N Fairland St Pryor OK 74361-4203 | |
| (918) 825-1405 | |
| (918) 825-1406 |
| Full Name | Grand Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 109 N Fairland St, Pryor, 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) 825-1405 | Grand Mental Health 109 N Fairland St Pryor OK 74361-4203 Ph: (918) 825-1405 |
| NPI Number | 1871500900 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 06/07/2022 |
| Certification Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871500900 | NPI | - | NPPES |
| 100732860H | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Grand Lake Medical Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1405 | |
Youthcare Of Oklahoma Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 447 S Wood St, Pryor, OK 74361 Phone: 866-926-6552 Fax: 580-547-4076 | |
Counseling Connections, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Court Pl, Pryor, OK 74361 Phone: 918-864-2899 | |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1405 Fax: 918-825-1406 | |
People Inc. Of Sequoyah Co Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 S Adair St, Pryor, OK 74361 Phone: 918-775-7787 Fax: 918-775-4382 | |
Pushmataha Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S Adair St, Pryor, OK 74361 Phone: 918-825-4872 | |
Pushmataha Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S Adair St, Pryor, OK 74361 Phone: 918-825-4872 Fax: 918-825-4873 |