Healthcare Provider Details

I. General information

NPI: 1053682583
Provider Name (Legal Business Name): THE HOMELESS ALLIANCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2012
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 NW 4TH ST
OKLAHOMA CITY OK
73106-2609
US

IV. Provider business mailing address

1724 NW 4TH ST
OKLAHOMA CITY OK
73106-2609
US

V. Phone/Fax

Practice location:
  • Phone: 405-415-8410
  • Fax: 405-415-8467
Mailing address:
  • Phone: 405-415-8410
  • Fax: 405-415-8467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA WILSON
Title or Position: CLINICAL DIRECTOR
Credential: LMSW #7985
Phone: 405-762-0963