SOUTHERN OKLAHOMA TREATMENT SERVICES, INC. (NPI# 1568000966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568000966 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OKLAHOMA TREATMENT SERVICES, INC. |
| Practice Address |
512 E 24th St Tishomingo OK 73460-3214 |
| Mailing Address |
Po Box 48 Mead OK 73449-0048 |
| Practice Telephone | 5803713672 |
| Mailing Telephone | 5805647374 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | VIRGINIA RAGAN (ADMIN) |
| Authorized Official Telephone | 5805647374 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| 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 |
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 |
| 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 |
| 1568740405 | Jordan Robert Reynolds | Counselor | 512 E 24th St, Tishomingo, OK 73460-3214 | 2011-07-26 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578768164 | Counseling, Inc. | Community/Behavioral Health | 201 N Neshoba St, Tishomingo, OK 73460-1741 | 2007-06-15 |
| 1891110714 | Southeastern Oklahoma Family Services, Inc | Community/Behavioral Health | 512 E 24th St, Tishomingo, OK 73460-3214 | 2014-02-28 |
| 1164771366 | Pennington Creek Life House | Community/Behavioral Health | 801 E Main St, Tishomingo, OK 73460-2351 | 2012-09-04 |
| 1831464304 | Pennington Creek Lifehouse | Community/Behavioral Health | 801 E Main St, Tishomingo, OK 73460-2351 | 2012-03-16 |
| 1568746584 | Hartsell Psychological Services | Community/Behavioral Health | 504 E 24th St, Tishomingo, OK 73460-3214 | 2011-10-10 |
| 1730462185 | Lighthouse Behavioral Wellness Centers | Community/Behavioral Health | 108 W Main St, Tishomingo, OK 73460-1723 | 2011-09-22 |
| 1407177306 | Hartsell Psychological Services, Inc | Community/Behavioral Health | 504 E 24th St, Tishomingo, OK 73460-3214 | 2010-06-15 |
| 1124286166 | Mental Health Services of Southern Oklahoma | Community/Behavioral Health | 209 E Wilson St, Tishomingo, OK 73460-2200 | 2008-05-27 |
| 1871751818 | Mental Health Services of Southern Oklahoma | Community/Behavioral Health | 209 E Wilson St, Tishomingo, OK 73460-2200 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1427656909 | Against All Odds Youth and Family Services | Community/Behavioral Health | 2701 Nw 185th St, Edmond, OK 73012-9795 | 2020-10-15 |
| 1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
| 1477170322 | Glostars LLC | Community/Behavioral Health | 19704 Vivace Dr, Edmond, OK 73012-5232 | 2020-06-26 |
| 1780201798 | Canadian County Collaborative LLC | Community/Behavioral Health | 1703 Professional Cir Ste 201, Yukon, OK 73099-6498 | 2020-06-26 |
| 1235754458 | New Life Counseling Center | Community/Behavioral Health | 1206 N Hwy 81, Duncan, OK 73533-1790 | 2020-06-12 |
| 1770108946 | Meadow Hazelhoff Counseling, LLC | Community/Behavioral Health | 9524 Conners Way, Mcloud, OK 74851-8668 | 2020-06-12 |
| 1407477920 | Keetoowah Economic Development | Community/Behavioral Health | 16414 W 760 Rd, Tahlequah, OK 74464-1675 | 2020-05-06 |
| 1992336481 | Share More Ctc, LLC | Community/Behavioral Health | 2000 N Broadway St Ste B, Moore, OK 73160-4416 | 2020-02-03 |
| 1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
| 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.