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Contact Information

OKLAHOMA MENTAL HEALTH COLLECTIVE
435 W. MAIN STREET
EAKLY, OK73033
 Phone: 405-323-0548
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for OKLAHOMA MENTAL HEALTH COLLECTIVE · (Female)

NPI Number 1033790142
Status Active
Credentials
Entity Individual
Enumeration date 04/20/2021
Last updated 11/19/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 1780694778
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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