OKLAHOMA MENTAL HEALTH COLLECTIVE NPI 1033790142

NPI Information

  • NPI: 1033790142
  • Provider Name: OKLAHOMA MENTAL HEALTH COLLECTIVE
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 435 W. MAIN STREET
    EAKLY, OK
    ZIP 73033
  • Phone: (405) 323-0548

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NPI Details

OKLAHOMA MENTAL HEALTH COLLECTIVE is a professional counselor in Eakly, OK. OKLAHOMA MENTAL HEALTH COLLECTIVE NPI is 1033790142. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

435 W. MAIN STREET
EAKLY, OK
ZIP 73033
Phone: (405) 323-0548

The provider's authorized official is Justin Robert Doty .
The authorized official title is Owner and has the following contact phone number (405) 323-0548.

The enumeration date for this NPI number is 4/20/2021 and was last updated on 11/8/2023.

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
1101YP2500XCounselorProfessionalYes

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
11780694778MEDICAIDOKLAHOMA

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: 11/21/2025

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