Healthcare Provider Details

I. General information

NPI: 1306764568
Provider Name (Legal Business Name): CREOKS MENTAL HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 E MONROE AVE
MCALESTER OK
74501-4815
US

IV. Provider business mailing address

PO BOX 700360
TULSA OK
74170-0360
US

V. Phone/Fax

Practice location:
  • Phone: 918-420-5343
  • Fax:
Mailing address:
  • Phone: 918-382-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA WILLIAMS
Title or Position: CIO
Credential:
Phone: 918-382-7300