OKLAHOMA MENTAL HEALTH COLLECTIVE; NPI #1033790142

Contact Information

OKLAHOMA MENTAL HEALTH COLLECTIVE

435 W. MAIN STREET
EAKLY, OK 73033

Phone: 405-323-0548
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Professional	101YP2500X

Indicates primary specialty

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NPI Profile & details for OKLAHOMA MENTAL HEALTH COLLECTIVE

NPI # 1033790142

LBN Legal business name OKLAHOMA MENTAL HEALTH COLLECTIVE

Authorized official JUSTIN DOTY - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/20/2021

Last updated 11/19/2023 - About 3 years ago

Identifiers

Medicaid

1780694778

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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OKLAHOMA MENTAL HEALTH COLLECTIVE

Contact Information

Specialty

Professional

NPI Profile & details for OKLAHOMA MENTAL HEALTH COLLECTIVE

Reviews for OKLAHOMA MENTAL HEALTH COLLECTIVE