Oklahoma Mental Health Council | |
1420 N Harrison Ave Shawnee OK 74801-5208 | |
(405) 424-7711 | |
Not Available |
Full Name | Oklahoma Mental Health Council |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1420 N Harrison Ave, Shawnee, Oklahoma |
Authorized Official Name and Position | Marquitta Frazier (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 4054250442 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oklahoma Mental Health Council 4400 N Lincoln Blvd Oklahoma City OK 73105-5104 Ph: (405) 424-7711 | Oklahoma Mental Health Council 1420 N Harrison Ave Shawnee OK 74801-5208 Ph: (405) 424-7711 |
NPI Number | 1982394854 |
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Provider Enumeration Date | 05/12/2023 |
Last Update Date | 05/12/2023 |
Certification Date | 04/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982394854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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