Clay Crossing Foundation Inc
Organization Active NPI Community/Behavioral Health Agency · Maud, OK
NPI 1508999319 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508999319
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- CLAY CROSSING FOUNDATION INC
- Practice address
- Hwy 59 and County Crossroad
#Ew133
Maud, OK 74854 - Phone
- (405) 374-1258
- Fax
- (405) 374-1258
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Jim N Schmidt, ICADC
- Title
- Program Director President
- Phone
- (405) 374-1225
Corporate family (same tax ID) 1
Practitioners 13
-
Rachael Lynn Howard, LPC
-
Kara Layne Keesee, MS, LPC
-
Kelis Ayn Whisenhunt, MA, LPC, CADC
-
Diana Jean Stone, MA, LPC
National Provider Directory
- Tax ID family
- Clay Crossing Foundation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | OK | Yes |
Addresses
Primary practice location
Hwy 59 and County Crossroad
#Ew133
Maud, OK 74854
Mailing address
PO Box 8
Maud, OK 74854
Phone (405) 374-1225
Other providers in Maud, OK
- Derrick Chandler Ayres
- Clay Crossing Foundation
- Stephanie Lean Dohlman
- Louis James Fazio
- Kerry Lynn Givens
- Brian Lee Grimmett
- Roy Harris Jr.
All providers in Maud, OK · Community/Behavioral Health Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.