| The Jetty Counseling Center | |
|
1201 Nw Arlington Ave Suite D Lawton OK 73507-6570 | |
| (580) 354-1555 | |
| (405) 665-6396 |
| Full Name | The Jetty Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1201 Nw Arlington Ave, Lawton, Oklahoma |
| Authorized Official Name and Position | James E Wallace (CEO FINANCIAL ADMINISTRATOR) |
| Authorized Official Contact | 4056654385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Jetty Counseling Center 202 S Washita Ave Wynnewood OK 73098-7820 Ph: (405) 665-4385 | The Jetty Counseling Center 1201 Nw Arlington Ave Suite D Lawton OK 73507-6570 Ph: (580) 354-1555 |
| NPI Number | 1760527824 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760527824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Lynch & Lynch, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6205 W Gore Blvd, Lawton, OK 73505 Phone: 580-536-3900 Fax: 580-357-8787 | |
Neurohealth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Sw A Ave, Lawton, OK 73505 Phone: 580-248-1004 Fax: 580-248-1008 | |
Providence Of Oklahoma Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4645 W Gore Blvd Ste 5, Lawton, OK 73505 Phone: 580-355-6800 Fax: 580-355-0666 | |
Southern Oklahoma Treatment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1307 Sw Washington Ave, Lawton, OK 73501 Phone: 405-208-9354 | |
Jennifer Baker, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6425 Nw Cache Rd Ste 215, Lawton, OK 73505 Phone: 580-583-2133 | |
Western Plains Youth & Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Sw D Ave, Ste. B, Lawton, OK 73501 Phone: 580-248-3065 Fax: 580-248-3370 | |
Trinity Autism And Behavior Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 W Gore Blvd, Lawton, OK 73501 Phone: 817-476-0393 |