| Mental Health And Substance Abuse Centers Of Southern Oklahoma | |
|
209 E Wilson St Tishomingo OK 73460-2200 | |
| (580) 371-0109 | |
| Not Available |
| Full Name | Mental Health And Substance Abuse Centers Of Southern Oklahoma |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 209 E Wilson St, Tishomingo, Oklahoma |
| Authorized Official Name and Position | Robert E Lee (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5802235070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health And Substance Abuse Centers Of Southern Oklahoma Po Box 189 Ardmore OK 73402-0189 Ph: (580) 223-5070 | Mental Health And Substance Abuse Centers Of Southern Oklahoma 209 E Wilson St Tishomingo OK 73460-2200 Ph: (580) 371-0109 |
| NPI Number | 1780867812 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 11/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780867812 | NPI | - | NPPES |
| 100728830F | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Oklahoma) | Primary |
Mental Health And Substance Abuse Centers Of Southern Oklahoma Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E Wilson St, Tishomingo, OK 73460 Phone: 580-371-3019 | |
Lighthouse Behavioral Wellness Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 S Byrd St, Tishomingo, OK 73460 Phone: 580-371-3019 Fax: 580-371-0138 | |
Pennington Creek Life House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Main St, Tishomingo, OK 73460 Phone: 580-371-3776 | |
Hartsell Psychological Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 E 24th St, Tishomingo, OK 73460 Phone: 580-371-9933 Fax: 580-371-9944 | |
Southern Oklahoma Treatment Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 E 24th St, Tishomingo, OK 73460 Phone: 580-371-3672 Fax: 580-371-3651 | |
Southern Oklahoma Treatment Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 E 24th St, Tishomingo, OK 73460 Phone: 580-371-3672 | |
Hartsell Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 E 24th St, Tishomingo, OK 73460 Phone: 580-371-9933 Fax: 580-371-9944 |