| State Of Oklahoma; Dba:bill Willis Community Mental Health Center | |
|
1400 S. Hensley Dr Tahlequah OK 74465-0558 | |
| (918) 207-3049 | |
| (918) 207-3065 |
| Full Name | State Of Oklahoma; Dba:bill Willis Community Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1400 S. Hensley Dr, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Walter Michael Kinney (DIRECTOR OF PHARMACY) |
| Authorized Official Contact | 9182073049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Oklahoma; Dba:bill Willis Community Mental Health Center 1400 S. Hensley Dr P.o. Box 558 Tahlequah OK 74465-0558 Ph: (918) 207-3049 | State Of Oklahoma; Dba:bill Willis Community Mental Health Center 1400 S. Hensley Dr Tahlequah OK 74465-0558 Ph: (918) 207-3049 |
| NPI Number | 1508987959 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508987959 | NPI | - | NPPES |
| 29393 | Other | OK | STATE BNDD CONTROL NUMBER |
| 364537 | Other | OK | STATE BOARD OF PHARMACY L |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 36-4537 (Oklahoma) | Primary |
Redefine U Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2511 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-431-0634 Fax: 908-431-0654 | |
Creoks Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-0078 Fax: 918-207-0558 | |
Tenkiller Behavioral Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 N Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-0079 | |
Kerby Behavioral Development, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Janet St, Tahlequah, OK 74464 Phone: 918-718-9004 Fax: 918-431-1180 | |
Eeg Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 E Downing, Tahlequah, OK 74465 Phone: 918-743-4799 Fax: 918-743-4167 | |
People Inc. Of Sequoyah Co Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1606 E Downing St, Tahlequah, OK 74464 Phone: 918-775-7787 Fax: 918-775-4382 | |
Creoks Mental Health Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 S Muskogee Ave Ste 2, Tahlequah, OK 74464 Phone: 918-207-0078 |