State Of Oklahoma, NPI 1750456588
Medical Specialty Clinic/Center in Woodward, OK, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1750456588
NPI Entity Type Organization
Provider Name State Of Oklahoma
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1222 10th Street, Suite 211, Northwest Center For Behavioral Health, Woodward, OK, US
Provider Mailing Address 1222 10th Street, Suite 211, Northwest Center For Behavioral Health, Woodward, OK, US, 738013156
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name LADC/LCSW Autumn Nickelson
Official Position EXECUTIVE DIRECTOR
Phone 580-571-3231

Primary Taxonomy

Taxonomy Code

261QM2500X

Taxonomy Name Medical Specialty Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Business Address

State Of Oklahoma
1222 10th Street, Suite 211
Northwest Center For Behavioral Health

Woodward, OK, US

Phone: 580-571-3217
Fax: 580-256-8609

Mailing Address

State Of Oklahoma
1222 10th Street, Suite 211
Northwest Center For Behavioral Health
Woodward, OK, US
ZIP 738013156
Phone: 580-571-3217
Fax: 580-256-8609

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

251S00000X

Agencies

Community/Behavioral Health

No

Other Providers in OK, US

NPI Name Taxonomy Address

1154753580

MS. M.S. CCC-SLP Allie Ohara

Individual

Speech-Language Pathologist

8506 E 61st St

Tulsa, OK

1194207472

MSW, LCSW Carrie M. Mcdowell

Individual

Clinical Social Worker

7010 S Yale Ave Ste 210

Tulsa, OK

1467176545

Tamara Laakso

Individual

Counselor

4103 S Yale Ave Ste B

Tulsa, OK

1093379331

Premise Health Of Oklahoma Medical, P.c

Organization

Primary Care Clinic/Center

404 S Commerce St

Ardmore, OK

1538765094

DR. PHARMD Hilary Brooke Dozier

Individual

Pharmacist

6350 N Macarthur Blvd

Warr Acres, OK

1679843189

MA, NCC, LPC, LAC Christy Tanusaputra

Individual

Professional Counselor

1704 S Utica Ave

Tulsa, OK

1831814102

MRS. RDH Cala French

Individual

Dental Hygienist

4913 W Reno Ave

Oklahoma City, OK

1649995010

MISS Megan Elizabeth Young

Individual

Behavior Technician

8252 S Harvard Ave Ste 151

Tulsa, OK

1710386081

Affordable Health Services Pllc

Organization

Internal Medicine Physician

2636 Sw 28th St

Oklahoma City, OK

1285908145

MRS. M.S., CCC-SLP Blanca Adriana Urriago-haigood

Individual

Speech-Language Pathologist

937 Sw 89th St

Oklahoma City, OK

1861640682

Anna Craycraft

Individual

Clinical Psychologist

1700 Nw 17th St Ste 100

Oklahoma City, OK

1851016208

Sarah Renea Mahaffey-pickup

Individual

Case Manager/Care Coordinator

407 W S Ave, Ponca City, Ok 74601

Ponca City, OK

1215964044

CRNA Kristy J Yates

Individual

Certified Registered Nurse Anesthetist

1 E Clark Bass Blvd

Mcalester, OK

1326763772

Scarlet Bronson

Individual

Case Manager/Care Coordinator

614 N Main St.

Muskogee, OK

1528783974

Kayla Jenea Gilbert

Individual

Behavior Technician

1717 S Air Depot Blvd

Midwest City, OK

1750530036

MRS. DNP, APRN-CNP Sherri Lynn Richardson

Individual

Family Nurse Practitioner

4716 W Urbana St

Broken Arrow, OK

1629700802

Mallory Callins

Individual

Physician Assistant

8325 Nw Expressway

Oklahoma City, OK

1346992740

APRN Priscilla Rashelle Phelps

Individual

Nurse Practitioner

1717 S Utica Ave Ste A

Tulsa, OK

1407458672

Natalie Strohm

Individual

Behavior Technician

14828 Serenita Ave

Oklahoma City, OK

1508512278

MS; LPC-CANDIDATE Eden Trentham

Individual

Counselor

1055 S Houston Ave

Tulsa, OK

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