Healthcare Provider Details

I. General information

NPI: 1679851174
Provider Name (Legal Business Name): THE AGENCY AT ZOE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2011
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 E MAINE AVE
ENID OK
73701-5915
US

IV. Provider business mailing address

729 E MAINE AVE
ENID OK
73701-5915
US

V. Phone/Fax

Practice location:
  • Phone: 580-237-7703
  • Fax: 580-237-5589
Mailing address:
  • Phone: 580-237-7703
  • Fax: 580-237-5589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number3653
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number3653
License Number StateOK

VIII. Authorized Official

Name: SHARMON PITTS
Title or Position: SECRETARY
Credential:
Phone: 580-237-7703