Creoks Mental Health Services in Tulsa - Community/behavioral Health
Creoks Mental Health Services - NPI 1912120452
Creoks Mental Health Services is a Community/behavioral Health in Tulsa, Oklahoma. Creoks Mental Health Services practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Creoks Mental Health Services is 1912120452. The last update date is 2019-10-15.
Creoks Mental Health Services's current location address is 4103 S Yale Ave Ste B, Tulsa, Oklahoma. You can contact this provider via phone number 9183827300 and fax number 9183827302. The mailing address for Creoks Mental Health Services is 4103 S Yale Ave Ste B, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Creoks Mental Health Services |
|---|---|
| Address | 4103 S Yale Ave Ste B, Tulsa, Oklahoma |
| Phone Number | 9183827300 |
| Fax Number | 9183827302 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Black M Brent |
| Credentials | LPC |
| Telephone Number | 9187569411 |
NPI Number Detail
| NPI Number | 1912120452 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2019-10-15 |
Provider Mailing Address Detail
| Address | 4103 S Yale Ave Ste B |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741356002 |
| Phone Number | 9183827300 |
| Fax Number | 9183827302 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 100734620C |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100734620C | OK | -- | |
| 100734620G | OK | -- |
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What is the Creoks Mental Health Services's unique identification number?
The Creoks Mental Health Services has been assigned the NPI (National Provider Identifier) Number 1912120452 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Creoks Mental Health Services located?
The Creoks Mental Health Services is located at 4103 S Yale Ave Ste B, Tulsa, OK 741356002.
What is Creoks Mental Health Services's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Creoks Mental Health Services is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912120452 to Creoks Mental Health Services?
The Centers for Medicare & Medicaid Services originally issued the 1912120452 to Creoks Mental Health Services on 2007-04-11.
As of what date were the Creoks Mental Health Services's details last updated?
The information pertaining to the Creoks Mental Health Services, including its address, specialty, and other details, was most recently updated on 2019-10-15.
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