1619012515 STATE OF OKLAHOMA
Mental Health Clinic/Center (Including Community Mental Health Center)
Active
Basic Information
- Organization Name
- STATE OF OKLAHOMA
- Enumeration Date
- February 20, 2007
- Last Update
- January 30, 2024
- Authorized Official
- MRS. TERRI LEE LPC
EXECUTIVE DIRECTOR
Phone: (580) 250-2640
Practice Location
- Address
- 602 SW 38TH STREET
LAWTON, OK 735056912 - Phone
- (580) 248-5780
- Fax
- (580) 353-3202
Mailing Address
- Address
- 602 SW 38TH STREET
LAWTON, OK 735056912 - Phone
- (580) 248-5780
- Fax
- (580) 353-3202
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Medical Specialty Clinic/Center Medical Specialty | 261QM2500X | Clinic/Center | 0005111 | OK | No |
| Medical Specialty Clinic/Center Medical Specialty | 261QM2500X | Clinic/Center | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | No |
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | 0005111 | OK | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WCDLG | 01 | OK | MEDICARE PART B PROVIDER NUMBER |
| 100677270A | 05 | OK | N/A |
| 100755860A | 05 | OK | N/A |
| 100688870A | 05 | OK | N/A |
Frequently Asked Questions
What is STATE OF OKLAHOMA's NPI number?
STATE OF OKLAHOMA's NPI number is 1619012515.
Which doctor has NPI number 1619012515?
The doctor with NPI number 1619012515 is STATE OF OKLAHOMA.
What is STATE OF OKLAHOMA's practice address?
STATE OF OKLAHOMA's practice address is 602 SW 38TH STREET, LAWTON, OK, 735056912.
Which doctor practices at 602 SW 38TH STREET, LAWTON, OK, 735056912?
STATE OF OKLAHOMA practices at 602 SW 38TH STREET, LAWTON, OK, 735056912.
What is STATE OF OKLAHOMA's phone number?
STATE OF OKLAHOMA's phone number is (580) 248-5780.
Who is (580) 248-5780?
(580) 248-5780 is the phone number for STATE OF OKLAHOMA.
What is STATE OF OKLAHOMA's specialty?
STATE OF OKLAHOMA's specialty is Mental Health Clinic/Center (Including Community Mental Health Center).
What type of doctor is STATE OF OKLAHOMA?
STATE OF OKLAHOMA is a Mental Health Clinic/Center (Including Community Mental Health Center).
Is STATE OF OKLAHOMA a Mental Health (Including Community Mental Health Center)?
Yes, STATE OF OKLAHOMA is a Mental Health (Including Community Mental Health Center).
Is STATE OF OKLAHOMA still practicing?
Yes, STATE OF OKLAHOMA is currently practicing.
Is STATE OF OKLAHOMA accepting new patients?
STATE OF OKLAHOMA may be accepting new patients. Please call their office at (580) 248-5780 to inquire about availability.
Is NPI 1619012515 still active?
Yes, NPI 1619012515 is currently active.
Where does STATE OF OKLAHOMA practice?
STATE OF OKLAHOMA practices in LAWTON, OK.