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NPI Code Detail

MEDICARE: OKLAHOMA MENTAL HEALTH COUNCIL

MEDICARE: OKLAHOMA MENTAL HEALTH COUNCIL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/CenterLICENSES NOT ISSUEDOK
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)LICENSES NOT ISSUEDOK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275574907
Entity Type Code : Organization
Provider Name (Legal Business Name) : OKLAHOMA MENTAL HEALTH COUNCIL
Provider Business Mailing Address
First Line : 4400 N LINCOLN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73105-5104
Country : US
Telephone Number : 405-424-7711
Fax Number : 405-425-0343
Provider Business Practice Location Address
First Line : 4400 N LINCOLN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73105-5104
Country : US
Telephone Number : 405-424-7711
Fax Number : 405-425-0343
Authorized Official
Title or Position : MANAGER, CREDENTIALING
Name : ANGI MAXWELL-DUVERGER
Credential :
Telephone Number : 405-425-0428
Provider Enumeration Date : 06/10/2006
Last Update Date : 05/02/2022

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1922018415 — MR. MICHAEL JOSEPH HANES MAT, ATR-BC, LPC
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Practice Fax:
1457361842 — MR. CONNIE KAY MOTLEY LPC
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1730199142 — MARCUS J LEE B.A., BHRS
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1376553388 — MS. KELA J HAYNES BA,BHRS,CM-D
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Directions to “OKLAHOMA MENTAL HEALTH COUNCIL ” Practice Location

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