SOUTHERN OKLAHOMA TREATMENT SERVICES, INC. (NPI# 1487723276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487723276 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OKLAHOMA TREATMENT SERVICES, INC. |
| Practice Address |
715 N 1st Ave Durant OK 74701-3801 |
| Mailing Address |
512 E 24th St Tishomingo OK 73460-3214 |
| Practice Telephone | 5809313008 |
| Practice Fax Number | 5809318022 |
| Mailing Telephone | 5803713672 |
| Mailing Fax Number | 5803713651 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2009-11-05 |
| Authorized Official Name | MILTON EVANS (CEO) |
| Authorized Official Telephone | 5803713672 |
| 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 | 200049040 F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565512 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 324 N Washington Ave, Durant, OK 74701-3642 | 2019-12-16 |
| 1093353492 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 113653 Old Highway 69, Checotah, OK 74426-8802 | 2019-12-16 |
| 1750709903 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 1309 Sw Washington Ave, Lawton, OK 73501-7231 | 2014-04-04 |
| 1962768697 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 2601 Nw Expressway Ste 101e, Oklahoma City, OK 73112-7232 | 2012-04-06 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1164567293 | Southern Oklahoma Treatment Services, Inc. | Case Management | 106 N Burris St, Tishomingo, OK 73460-2318 | 2007-02-20 |
| 1518002641 | Southern Oklahoma Treatment Services, Inc. | Case Management | 713 12th Ave Nw, Ardmore, OK 73401-5705 | 2007-02-20 |
| 1336284462 | Southern Oklahoma Treatment Services, Inc. | Case Management | 500 Hwy 70 North, Kingston, OK 73439 | 2007-02-20 |
| 1427193556 | Southern Oklahoma Treatment Services, Inc. | Case Management | 32 North Washington, Ardmore, OK 73401 | 2007-02-20 |
| 1609911734 | Southern Oklahoma Treatment Services, Inc. | Case Management | 303 East Court Street, Atoka, OK 74525 | 2007-02-20 |
| Street Address |
715 N 1ST AVE |
| City | DURANT |
| State | OK |
| Zip Code | 74701-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104163724 | Kerri Dawn Wyrick | Counselor | 715 N 1st Ave, Durant, OK 74701-3801 | 2013-01-16 |
| 1437496668 | Alicia Elrod | Counselor | 715 N 1st Ave, Durant, OK 74701-3801 | 2013-01-08 |
| 1811247612 | Shannon L Andrews | Counselor | 715 N 1st Ave, Durant, OK 74701-3801 | 2012-09-19 |
| 1154678274 | Whitney N Ford | Counselor | 715 N 1st Ave, Durant, OK 74701-3801 | 2012-08-08 |
| 1164786463 | Jared L Truett | Counselor | 715 N 1st Ave, Durant, OK 74701-3801 | 2012-07-02 |
| 1417223983 | Kristie D Mckee | Counselor | 715 N 1st Ave, Durant, OK 74701-3801 | 2012-03-28 |
| 1710250634 | Celena C Weaver | Counselor | 715 N 1st Ave, Durant, OK 74701-3801 | 2012-02-23 |
| 1831461656 | Jennifer L Carr | Counselor | 715 N 1st Ave, Durant, OK 74701-3801 | 2012-02-09 |
| 1619248952 | Angela Sue Welborn | Case Manager/Care Coordinator | 715 N 1st Ave, Durant, OK 74701-3801 | 2012-01-18 |
| 1104196385 | Rebekah L Hartman | Clinic/Center | 715 N 1st Ave, Durant, OK 74701-3801 | 2012-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| 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 |
|---|---|---|---|---|
| 1366735144 | Bylynn Vanzandt | Clinic/Center | 715 N. 1st, Durant, OK 74701 | 2011-05-26 |
| 1427104546 | Lighthouse Behavioral Wellness Centers | Clinic/Center | 2425 W University Blvd Ste 102, Durant, OK 74701-2970 | 2007-01-25 |
| 1518021286 | Sequelcare of Oklahoma, LLC | Clinic/Center | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-20 |
| 1407916802 | Providence Service Corporation of Oklahoma | Clinic/Center | 134 N 12th Ave, Durant, OK 74701-4718 | 2006-12-08 |
| 1093817942 | Oklahoma Families First Inc | Clinic/Center | 4216 Commercial Ln, Durant, OK 74701-7785 | 2006-09-02 |
| 1336152545 | S-okla Psychological Services, Inc. | Clinic/Center | 124 W Cedar St, Durant, OK 74701-4216 | 2006-08-15 |
| 1245764083 | Yco Tulsa, Inc | Clinic/Center | 1705 N Washington Ave Ste D, Durant, OK 74701-2100 | 2017-04-19 |
| 1821482704 | Yco Tulsa, Inc. | Clinic/Center | 127 N 3rd Ave, Suites A and B, Durant, OK 74701-4700 | 2015-03-27 |
| 1952722662 | Jo Lyn Manry | Clinic/Center | 1001 W Main St, Durant, OK 74701-5038 | 2013-12-23 |
| 1104196385 | Rebekah L Hartman | Clinic/Center | 715 N 1st Ave, Durant, OK 74701-3801 | 2012-01-05 |
| Find all providers in DURANT | ||||
Please comment or provide details below to improve the information on SOUTHERN OKLAHOMA TREATMENT SERVICES, INC..
| 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.