National Provider Identifier Database

OKLAHOMA MENTAL HEALTH COLLECTIVE
Professional


Contact Information

OKLAHOMA MENTAL HEALTH COLLECTIVE
435 W. MAIN STREET
EAKLY, OK73033
Phone: 405-323-0548
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for OKLAHOMA MENTAL HEALTH COLLECTIVE

NPI Number 1033790142
Legal business name
LBN
OKLAHOMA MENTAL HEALTH COLLECTIVE
Authorized official JUSTIN DOTY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/20/2021
Last updated 11/19/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 1780694778

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.

Reviews for OKLAHOMA MENTAL HEALTH COLLECTIVE

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