Melissa Joy Roberts

Individual provider Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Stilwell, OK

NPI 1508638503 · NPPES record last updated Oct 26, 2023

Key facts

NPI
1508638503
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Practice address
611 N 4TH St
Stilwell, OK 74960-2417
Phone
(918) 696-6212
Fax
(918) 696-6213
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OK Yes

Addresses

Primary practice location

611 N 4TH St
Stilwell, OK 74960-2417

Mailing address

611 N 4TH St
Stilwell, OK 74960-2417
Phone (918) 696-6212

Other providers in Stilwell, OK

All providers in Stilwell, OK · Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

Sources for this page

Verify at the official NPI Registry.