White Horse Ranch Outpatient, LLC
Organization Active NPI Mental Health Counselor · Mooreland, OK
NPI 1699158683 · NPPES record last updated Jul 8, 2015
Key facts
- NPI
- 1699158683
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 4974 (OK)
- Legal business name
- WHITE HORSE RANCH OUTPATIENT, LLC
- Practice address
- 40803 S County Road 213
1601 Wilkie Road
Mooreland, OK 73852-9131 - Phone
- (580) 994-5649
- Fax
- (580) 994-5972
- NPI assigned
- Jul 8, 2015
- Organization subpart
- No
Authorized official
- Name
- Tammie Renee Smith, LPC, LADC
- Title
- Executive Director
- Phone
- (580) 571-1272
National Provider Directory
Locations
40803 S County Road 213
#1601
Mooreland, OK 73852
Phone (580) 994-5649
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 4974 | OK | Yes |
| Community/Behavioral Health Agency | 251S00000X | 839 | OK |
Addresses
Primary practice location
40803 S County Road 213
1601 Wilkie Road
Mooreland, OK 73852-9131
Mailing address
40803 S County Road 213
1601 Wilkie Road
Mooreland, OK 73852-9131
Phone (580) 994-5649
Other providers in Mooreland, OK
- Katelyn Jean Shepherd
- Hope Elizabeth Smith
- Tammie Smith
- Amber Danielle Stephenson
- White Horse Ranch
- Woodward Health System LLC
- Woodward Health Systems LLC
All providers in Mooreland, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2015. 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.