DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WRAP PROJECT INC

MEDICARE: WRAP PROJECT INC
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
1251S00000XCommunity/Behavioral Health Agency
2261QM1300XMulti-Specialty Clinic/Center
3251B00000XCase Management Agency
4261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
5101YM0800XMental Health Counselor
6261QM0850XAdult Mental Health Clinic/Center
7261QR0400XRehabilitation Clinic/Center
8405300000XPrevention Professional
9175T00000XPeer Specialist
10101YA0400XAddiction (Substance Use Disorder) Counselor
11261QR0800XRecovery Care Clinic/Center
12171M00000XCase Manager/Care Coordinator
13261QM0855XAdolescent and Children Mental Health Clinic/Center
14261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1194438473
Entity Type Code : Organization
Provider Name (Legal Business Name) : WRAP PROJECT INC
Provider Business Mailing Address
First Line : 21275 STICK ROSS MOUNTAIN RD
Second Line :
City : TAHLEQUAH
State : OK
Zip : 74464-7343
Country : US
Telephone Number : 918-316-8180
Fax Number :
Provider Business Practice Location Address
First Line : 113 W KEETOOWAH ST
Second Line :
City : TAHLEQUAH
State : OK
Zip : 74464-3819
Country : US
Telephone Number : 918-931-3700
Fax Number :
Authorized Official
Title or Position : MANAGER OF OPERATIONS
Name : BOBBY LEE HAYES
Credential :
Telephone Number : 918-772-7499
Provider Enumeration Date : 01/02/2023
Last Update Date : 03/25/2026

Similar Medicare Providers

1780516195 — MIKAYLA THOMPSON MSW
Practice Location Address:
113 W KEETOOWAH ST
TAHLEQUAH, OK
74464-3819
Practice Phone: 580-399-1817
Practice Fax: 580-399-1817
1710664842 — BOBBY LEE HAYES
Practice Location Address:
113 W KEETOOWAH ST
TAHLEQUAH, OK
74464-3819
Practice Phone: 918-931-3700
Practice Fax:
1265202659 — ANTHONY DIRTEATER
Practice Location Address:
113 W KEETOOWAH ST
TAHLEQUAH, OK
74464-3819
Practice Phone: 918-931-3700
Practice Fax:
1689494270 — BRITTANY RASHEL CHILDS
Practice Location Address:
113 W KEETOOWAH ST
TAHLEQUAH, OK
74464-3819
Practice Phone: 918-931-3700
Practice Fax:
1104625201 — LADONNA RENEE BLACKBEAR
Practice Location Address:
113 W KEETOOWAH ST
TAHLEQUAH, OK
74464-3819
Practice Phone: 918-931-3700
Practice Fax:
1346049525 — AMELIA M MILLER
Practice Location Address:
113 W KEETOOWAH ST
TAHLEQUAH, OK
74464-3819
Practice Phone: 918-931-3700
Practice Fax:

Directions to “WRAP PROJECT INC ” 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.