GRAND LAKE MENTAL HEALTH CENTER INC NPI 1659904076

NPI Information

NPI: 1659904076
Provider Name: GRAND LAKE MENTAL HEALTH CENTER INC

Doing Business As: GRAND MENTAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
6333 E SKELLY DR
TULSA, OK
ZIP 74135
Phone: (918) 273-1841
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GRAND LAKE MENTAL HEALTH CENTER INC is a mental health (including community mental health center) clinic center in Tulsa, OK. GRAND LAKE MENTAL HEALTH CENTER INC NPI is 1659904076. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Mental Health.

The provider's business location address is:

6333 E SKELLY DR
TULSA, OK
ZIP 74135-106
Phone: (918) 273-1841
Fax: (918) 273-1843

The provider's authorized official is Larry Smith .
The authorized official title is Ceo and has the following contact phone number (918) 273-1841.

The enumeration date for this NPI number is 2/13/2020 and was last updated on 9/1/2022.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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: 4/28/2024

NPI Synchronization or Removal

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