=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053682583
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE HOMELESS ALLIANCE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/13/2012
-----------------------------------------------------
Last Update Date | 12/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1724 NW 4TH ST
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73106-2609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-415-8410
-----------------------------------------------------
Fax | 405-415-8467
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1724 NW 4TH ST
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73106-2609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-415-8410
-----------------------------------------------------
Fax | 405-415-8467
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL DIRECTOR
-----------------------------------------------------
Name | VICTORIA WILSON
-----------------------------------------------------
Credential | LMSW #7985
-----------------------------------------------------
Telephone | 405-762-0963
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251V00000X
-----------------------------------------------------
Taxonomy Name | Voluntary or Charitable Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------