Mental Health Services of Southern Oklahoma
Organization Active NPI Community/Behavioral Health Agency · Ardmore, OK
NPI 1750549705 · NPPES record last updated May 27, 2008
Key facts
- NPI
- 1750549705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA
- Practice address
- #2 Broadlawn
Ardmore, OK 73401-5519 - Phone
- (580) 223-4550
- NPI assigned
- May 27, 2008
- Organization subpart
- No
Authorized official
- Name
- Robert Lee, LCSW
- Title
- Executive Director
- Phone
- (580) 233-5070
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Mental Health Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | OK | Yes |
Addresses
Primary practice location
#2 Broadlawn
Ardmore, OK 73401-5519
Mailing address
PO Box 189
Ardmore, OK 73402-0189
Phone (580) 223-5070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200129610 B | Medicaid | OK |
Other names
- Mental Health and Substance Center of Southern Oklahoma
Other providers in Ardmore, OK
- Mental Health Services of Southern Oklahoma
- Mental Health Services of Southern Oklahoma
- Mental Health Services of Southern Oklahoma
- Mental Health Services of Southern Oklahoma
- Mental Health Services of Southern Oklahoma
- Mental Health Services of Southern Oklahoma
- Mercy Health Network of the Southern Region Inc
- Mercy Health Network of the Southern Region, Inc.
- Mercy Health Services - Southern Oklahoma, LLC
- Mercy Health Services-Southern Region, LLC
All providers in Ardmore, 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 May 27, 2008. 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.