YCO TULSA, INC. (NPI# 1447644323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447644323 |
| Entity Type | Organization |
| Organization Name | YCO TULSA, INC. |
| Other Organization Name | YOUTHCARE OF OKLAHOMA |
| Practice Address |
221 N Wewoka Ave Wewoka OK 74884-2221 |
| Mailing Address |
Po Box 95207 Oklahoma City OK 73143-5207 |
| Practice Telephone | 8669266552 |
| Practice Fax Number | 4052700543 |
| Mailing Telephone | 8669266552 |
| Mailing Fax Number | 4052700543 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | BRANDELINE RENE BROWN (PRESIDENT) |
| Authorized Official Telephone | 4054439991 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200333190 | 05 |
| Other Name | Type Code |
|---|---|
| YouthCare of Oklahoma | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740640648 | Yco Tulsa, Inc. | Clinic/Center | 2100 North Louis Tittle, Suites 122-124 and 147-148, Mangum, OK 73554 | 2016-03-04 |
| 1083074397 | Yco Tulsa, Inc. | Clinic/Center | 502 Whitaker Street, Chouteau, OK 74337 | 2016-02-29 |
| 1174034342 | Yco Tulsa, Inc. | Clinic/Center | 1809 Commons Cir Ste B, Yukon, OK 73099-9528 | 2017-10-16 |
| 1366836249 | Yco Tulsa, Inc. | Clinic/Center | 314 S Broadway Ave, Suite 106, Ada, OK 74820-5828 | 2015-03-27 |
| 1255725149 | Yco Tulsa, Inc. | Clinic/Center | 1602 N D St, Suites A and B, Mcalester, OK 74501-2314 | 2015-03-27 |
| 1669866547 | Yco Tulsa, Inc. | Clinic/Center | 605 S 1st St, Suite A, Madill, OK 73446-3807 | 2015-03-27 |
| 1376937250 | Yco Tulsa, Inc. | Clinic/Center | 2600 W Broadway Ave, Suite 2, Sulphur, OK 73086-6509 | 2015-03-27 |
| 1336533223 | Yco Tulsa, Inc. | Clinic/Center | 705 W 13th St, Atoka, OK 74525-3712 | 2015-03-27 |
| 1346634227 | Yco Tulsa, Inc. | Clinic/Center | 512 E 24th St, Suites A and C, Tishomingo, OK 73460-3214 | 2015-03-27 |
| 1063806958 | Yco Tulsa, Inc. | Clinic/Center | 115 W Broadway St, Suites 401 A and C, Ardmore, OK 73401-6205 | 2015-03-27 |
| Street Address |
221 N WEWOKA AVE |
| City | WEWOKA |
| State | OK |
| Zip Code | 74884-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770681207 | Jenny Goodridge | Counselor | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2006-09-20 |
| 1568093839 | Paula Motley | Community Health Worker | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2020-01-27 |
| 1093286270 | Kymberli Ogle | Behavior Technician | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2018-12-16 |
| 1710400130 | Kellie Snow | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2017-07-18 |
| 1003356114 | Debra Daugomah | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2017-03-08 |
| 1043768112 | Shelly Upchurch-berning | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2016-09-16 |
| 1912355538 | Laura Allison | Social Worker | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2016-05-25 |
| 1396105391 | Amanda Lenora | Counselor | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2016-03-03 |
| 1811372865 | Janet Baggett | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2015-07-20 |
| 1700274719 | Jacqueline Bush | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2014-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841798626 | Luvey Deatherage | Physician Assistant | 36640 Old Hwy 270, Wewoka, OK 74884 | 2018-01-26 |
| 1730604422 | Robert Adarme Montanez | Pharmacist | 36640 Hwy 270 Barking Water Rd, Wewoka, OK 74884 | 2017-08-03 |
| 1447788484 | Domika Kinman | Dental Hygienist | 36640 Highway 270, Wewoka, OK 74884 | 2017-06-02 |
| 1942737101 | Aaron Jahmal Johnson | Pharmacist | 36640 Hwy 270 and Barking Water Road, Wewoka, OK 74884 | 2017-05-18 |
| 1912434689 | Shannon Lowe | Pharmacist | 36640 Hwy 270 & Barkingwater Rd, Wewoka, OK 74884 | 2017-05-12 |
| 1225483522 | Indian Health Service-wewoka | Clinic/Center | Jct Hwys 56 & 270, Wewoka, OK 74884 | 2016-04-25 |
| 1093184145 | East Central Oklahoma Family Health Center, Inc. | Clinic/Center | 121 N. Mekusukey Avenue, Wewoka, OK 74884 | 2015-09-18 |
| 1841667441 | Chandler Hall | Dentist | Hwy 56 and 270 Jct, Wewoka, OK 74884 | 2015-08-31 |
| 1285989459 | Sherry Goines Loving | Counselor | 221 N. Wewoka Ave, Wewoka, OK 74884 | 2012-07-13 |
| 1053681346 | Misty Smith | Dental Hygienist | Hwy 270 & 56 Jct, Wewoka, OK 74884 | 2012-01-04 |
| Find all providers in zip 74884 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.