MEDICARE: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1053747253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA

Provider Business Mailing Address
First Line	:	1219 K ST NW
Second Line	:
City	:	ARDMORE
State	:	OK
Zip	:	73401-1801
Country	:	US
Telephone Number	:	580-798-4523
Fax Number	:

Provider Business Practice Location Address
First Line	:	1219 K ST NW
Second Line	:
City	:	ARDMORE
State	:	OK
Zip	:	73401-1801
Country	:	US
Telephone Number	:	580-798-4523
Fax Number	:

Authorized Official
Title or Position	:	CASE MANAGER
Name	:	JUNE ANN STANDRIDGE
Credential	:
Telephone Number	:	580-798-4523

Provider Enumeration Date	:	09/19/2013
Last Update Date	:	09/19/2013

Similar Medicare Providers

1184631756 — BAHA AL DEEN ABUESHEH MD PC
Practice Location Address:

1219 A K STREET NW
ARDMORE, OK
73401-1801

Practice Phone: 580-223-0447
Practice Fax: 580-223-2989

1497825822 — TOMMIE J SMITH MS, LPC
Practice Location Address:

1219 K ST NW STE 2
ARDMORE, OK
73401-1801

Practice Phone: 580-798-4523
Practice Fax:

1669596763 — MR. JAMES B DRAIN C. PED.
Practice Location Address:

1219 K ST NW STE 2
ARDMORE, OK
73401-1801

Practice Phone: 807-984-5235
Practice Fax: 580-319-5349

1235388000 — MICHELE R RUSS MBS, LPC
Practice Location Address:

1219 K ST NW STE 2
ARDMORE, OK
73401-1801

Practice Phone: 580-798-4523
Practice Fax: 580-319-5349

1225378623 — LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Practice Location Address:

1219 K ST NW , STE. #2
ARDMORE, OK
73401-1801

Practice Phone: 580-798-4523
Practice Fax: 580-319-5349

1861822025 — JAMES CARL HORTON JR.
Practice Location Address:

1219 K ST NW
ARDMORE, OK
73401-1801

Practice Phone: 580-798-4523
Practice Fax: 580-319-5349

Directions to “MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.