Sunshine Davis

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

NPI 1558834945 · NPPES record last updated Jan 8, 2019

Key facts

NPI
1558834945
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Practice address
4710 S Division St
Guthrie, OK 73044-6506
Phone
(405) 282-5524
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Community Services Past Accepting new patients
Logan Community Services Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

4710 S Division St
Guthrie, OK 73044-6506

Mailing address

4710 S Division St
Guthrie, OK 73044-6506
Phone (405) 282-5524

Other providers in Guthrie, OK

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

Sources for this page

Verify at the official NPI Registry.