Oklahoma Mental Health Council

NPI #1649755158 in Shawnee, Oklahoma

Provider Information

NPI Number: 1649755158
Entity Type: Organization
Organization Name: Oklahoma Mental Health Council
Subpart: Yes (part of a larger organization)
Parent Organization: OKLAHOMA MENTAL HEALTH COUNCIL
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 1, 2018
Last Updated: Nov 10, 2021

Practice Location

Address: 1336 N HARRISON AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74801-5206
Phone: (405) 424-7711

Authorized Official

Name: ANGI MAXWELL-DUVERGER
Title: MANAGER CREDENTIALING AND PROVIDER
Phone: (405) 424-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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