Eagle Ridge Family Treatment Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

21854 Issued in OK

Legal business name

EAGLE RIDGE FAMILY TREATMENT CENTER

Practice address

1916 E Perkins Ave
Guthrie, OK 73044-5804

Phone

(405) 282-8232

Fax

(405) 282-0083

NPI assigned

Oct 18, 2011

Last updated

Oct 18, 2011By 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

Ms. Mary E Griffith, LPC

Title

Director

Phone

(405) 282-8232

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1740565191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1182",
            "address_2": "1916 EAST PERKINS",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730441182",
            "telephone_number": "405-282-8232",
            "fax_number": "405-282-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 E PERKINS AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730445804",
            "telephone_number": "405-282-8232",
            "fax_number": "405-282-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE RIDGE FAMILY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-282-8232",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": "21854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Dawn Dunn, PRSS
• Chandra M. Dyer, ATC
• E-School Virtual Charter Academy
• Eagle Ridge
• Eagle Ridge Family Treatment Center
• Eagle Ridge Institute
• Deborah Renee Easton
• Ketti Lynn Eddy, APRN-CNP
• Denise Ergang
• Everbloom Therapy & Co.

• Case Management Agency in Guthrie, OK
• Providers in Guthrie, OK by specialty
• Case Management Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.