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MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA NPI 1518407360


NPI Information

NPI: 1518407360
Provider Name: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
15 MONROE ST NE
ARDMORE, OK
ZIP 73401
Phone: (580) 226-5048
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MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA is a community behavioral health in Ardmore, OK. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA NPI is 1518407360. The provider is registered as an organization entity type.

The provider's business location address is:

15 MONROE ST NE
ARDMORE, OK
ZIP 73401-025
Phone: (580) 226-5048
Fax: (580) 226-3569

The provider's authorized official is Jessica Pfau .
The authorized official title is Executive Director and has the following contact phone number (580) 319-7305.

The enumeration date for this NPI number is 2/27/2017 and was last updated on 3/1/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100728830MEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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