Healthcare Provider Details

I. General information

NPI: 1386983104
Provider Name (Legal Business Name): OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2013
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 N CLASSEN BLVD STE 2600
OKLAHOMA CITY OK
73106-6027
US

IV. Provider business mailing address

2000 N CLASSEN BLVD STE 2600
OKLAHOMA CITY OK
73106-6027
US

V. Phone/Fax

Practice location:
  • Phone: 405-881-6085
  • Fax:
Mailing address:
  • Phone: 405-881-6085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSHUA ANDERSON
Title or Position: COMMISSIONER
Credential: JD
Phone: 405-881-6085