Tricounty Behavioral Health, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRICOUNTY BEHAVIORAL HEALTH, LLC

Practice address

203 E Jackson St
Hugo, OK 74743-4036

Phone

(580) 326-9289

NPI assigned

Feb 5, 2013

Last updated

Feb 5, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George Wayne Durrence, MBS, LBPNPI 1225288863

Title

Owner

Phone

(580) 326-9289

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Wayne Durrence, MBS, LBP

  • Mental Health Counselor
  • Hugo, OK
  • NPI 1225288863
  Authorized official Same address or phone
• Anntricia Marie Bray, M. ED

  • School Counselor
  • Hugo, OK
  • NPI 1477981561
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1154660652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434036",
            "telephone_number": "580-326-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434036",
            "telephone_number": "580-326-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICOUNTY BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "DURRENCE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-326-9289",
        "authorized_official_credential": "MBS, LBP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie R Terry-Ball
• Gweneth Susan Terry-Ball
• The Therapy Tree
• Kashia Nicole Thompson, LMSW
• Joshua Asher Tims, BHRS
• Vision Source of Hugo, Inc.
• Vision Source of Hugo, Inc.
• Rebecca Ann Wade, COTA
• Victoria Louise Waggoner
• Ruthy M Waight

• Community/Behavioral Health Agency in Hugo, OK
• Providers in Hugo, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.