Healthcare Provider Details

I. General information

NPI: 1437364981
Provider Name (Legal Business Name): OKLAHOMA MENTAL HEALTH COUNCIL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 09/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3105 E SKELLY DR SUITE 310
TULSA OK
74105-6358
US

IV. Provider business mailing address

4400 N LINCOLN BLVD
OKLAHOMA CITY OK
73105-5104
US

V. Phone/Fax

Practice location:
  • Phone: 918-599-7404
  • Fax: 918-584-2530
Mailing address:
  • Phone: 405-424-7711
  • Fax: 405-425-0343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ALLYN S FRIEDMAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.A.
Phone: 405-425-0355