SOUTHERN OKLAHOMA TREATMENT SERVICES, INC (NPI# 1548339435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548339435 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OKLAHOMA TREATMENT SERVICES, INC |
| Practice Address |
512 E 24th St Tishomingo OK 73460-3214 |
| Mailing Address |
5862 Hwy 70 Mead OK 73449 |
| Practice Telephone | 5803713672 |
| Practice Fax Number | 5803713651 |
| Mailing Telephone | 5803713672 |
| Mailing Fax Number | 5803713651 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2009-11-09 |
| Authorized Official Name | MILTON EVANS (C.E.O.) |
| 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 C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619313954 | Southern Oklahoma Treatment Services, Inc | Community/Behavioral Health | 4149 Highline Blvd, Suite 400, Oklahoma City, OK 73108-2103 | 2013-05-14 |
| 1477782688 | Southern Oklahoma Treatment Services, Inc | Community/Behavioral Health | 211 W Main St, Wilburton, OK 74578-4045 | 2009-07-09 |
| 1558434373 | Southern Oklahoma Treatment Services, Inc | Case Management | 4801 Classen, Suite 149, Okc, OK 73118 | 2006-11-17 |
| Street Address |
512 E 24TH ST |
| City | TISHOMINGO |
| State | OK |
| Zip Code | 73460-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679684914 | Rhonda Jeanne Hendrix | Nurse Practitioner | 512 E 24th St, Tishomingo, OK 73460-3214 | 2006-08-31 |
| 1568000966 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 512 E 24th St, Tishomingo, OK 73460-3214 | 2019-12-16 |
| 1093299893 | Stacey Jean Loughridge | Counselor | 512 E 24th St, Tishomingo, OK 73460-3214 | 2018-09-18 |
| 1386169449 | Crystal Lynn Maldonado | Case Manager/Care Coordinator | 512 E 24th St, Tishomingo, OK 73460-3214 | 2017-08-10 |
| 1073996815 | Christina M Powell | Counselor | 512 E 24th St, Tishomingo, OK 73460-3214 | 2015-06-29 |
| 1346634227 | Yco Tulsa, Inc. | Clinic/Center | 512 E 24th St, Suites A and C, Tishomingo, OK 73460-3214 | 2015-03-27 |
| 1891110714 | Southeastern Oklahoma Family Services, Inc | Community/Behavioral Health | 512 E 24th St, Tishomingo, OK 73460-3214 | 2014-02-28 |
| 1447699905 | Jennifer Nicole Standridge | Counselor | 512 E 24th St, Tishomingo, OK 73460-3214 | 2013-06-18 |
| 1265703573 | Marion C Straub | Clinic/Center | 512 E 24th St, Tishomingo, OK 73460-3214 | 2012-01-18 |
| 1578830980 | Miranda Lee Frazer | Counselor | 512 E 24th St, Tishomingo, OK 73460 | 2011-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
| 1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1811231939 | Wanda Luann Beesley Gray | Emergency Medical Technician, Paramedic | 3100 E St Hwy 78, Tishomingo, OK 73460 | 2012-11-15 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
| Find all providers in zip 73460 | ||||
| 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 |
|---|---|---|---|---|
| 1780867812 | Mental Health Services of Southern Oklahoma | Clinic/Center | 209 E Wilson St, Tishomingo, OK 73460-2200 | 2007-12-12 |
| 1730258526 | Southern Oklahoma Treatment Services, Inc. | Clinic/Center | 106 North Burris Street, Tishomingo, OK 73460 | 2006-11-07 |
| 1346634227 | Yco Tulsa, Inc. | Clinic/Center | 512 E 24th St, Suites A and C, Tishomingo, OK 73460-3214 | 2015-03-27 |
| 1265703573 | Marion C Straub | Clinic/Center | 512 E 24th St, Tishomingo, OK 73460-3214 | 2012-01-18 |
| 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 | ||||
| City | TISHOMINGO |
| Zip Code | 73460 |
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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.