CREOKS MENTAL HEALTH SERVICES (NPI# 1598316358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598316358 |
| Entity Type | Organization |
| Organization Name | CREOKS MENTAL HEALTH SERVICES |
| Practice Address |
2548 E Kenosha St Broken Arrow OK 74014-6712 |
| Mailing Address |
4103 S Yale Ave Ste B Tulsa OK 74135-6002 |
| Practice Telephone | 9183550993 |
| Mailing Telephone | 9183827300 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | TABITHA TALBOT (GOHEALTH HELPDESK MANAGER) |
| Authorized Official Telephone | 9183827300 |
| 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 | 100734620 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730712316 | Creoks Mental Health Services | Clinic/Center | 19320 E Admiral Pl Ste B, Catoosa, OK 74015-3240 | 2020-02-21 |
| 1528603198 | Creoks Mental Health Services | Clinic/Center | 186 W Court St, Atoka, OK 74525-1822 | 2019-11-07 |
| 1689219263 | Creoks Mental Health Services | Community/Behavioral Health | 2807 N Broadway St Ste C, Poteau, OK 74953-5557 | 2019-11-07 |
| 1699310276 | Creoks Mental Health Services | Community/Behavioral Health | 4704 Nw Motif Manor Blvd Ste 4, Lawton, OK 73505-4800 | 2019-11-07 |
| 1225333826 | Creoks Mental Health Services | Community/Behavioral Health | 716 S 2nd St Ste 101, Stilwell, OK 74960-4806 | 2011-01-13 |
| 1043331499 | Creoks Mental Health Services | Community/Behavioral Health | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2007-04-03 |
| 1841311289 | Creoks Mental Health Services | Community/Behavioral Health | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 | 2007-04-03 |
| 1568004232 | Creoks Mental Health Services | Pharmacy | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 | 2019-10-14 |
| 1104360692 | Creoks Mental Health Services | Community/Behavioral Health | 203 2nd Ave Sw, Miami, OK 74354-6818 | 2016-12-19 |
| 1700136900 | Creoks Mental Health Services | Community/Behavioral Health | 2 S Coo Y Yah St, Suite 4, Pryor, OK 74361-4636 | 2012-09-14 |
| Street Address |
2548 E KENOSHA ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74014-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1497306260 | Donna Norton | Technician | 5311 East Madison Place, Broken Arrow, OK 74014 | 2019-09-24 |
| 1588159420 | Guadalupe Luis | Social Worker | 8000 E New Orleans St, Broken Arrow, OK 74014 | 2018-06-23 |
| 1083102099 | Hailey Elaine Kimball | Specialist/Technologist | 7251 South 301st East Avenue, Broken Arrow, OH 74014 | 2018-04-25 |
| 1508365800 | Kayla Porche | Speech-Language Pathologist | 3500 E Kenosha, Broken Arrow, OK 74014 | 2018-02-02 |
| 1073973392 | Heather Miller | Behavioral Analyst | 932 Hillcrest Drive, Broken Arrow, OK 74014 | 2016-02-29 |
| 1346518677 | Julie Genet Henry | Speech-Language Pathologist | 3294 S 202nd East Ave, Broken Arrow, OK 74014 | 2011-12-01 |
| 1619265212 | Katie Leigh Elliott | Physician Assistant | 7301 E Nashville St, Broken Arrow, OK 74014 | 2011-07-16 |
| 1407084676 | Jeremiah D Wilhite | Physical Therapist | 2560 East Kenosha Street, Broken Arrow, OK 74014 | 2009-06-26 |
| 1194963041 | Longnecker Counseling and Consulting | Counselor | 7014 S. 235th E. Ave., Broken Arrow, OK 74014 | 2009-01-30 |
| Find all providers in zip 74014 | ||||
| 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 |
|---|---|---|---|---|
| 1700390671 | Modern Mental Health | Clinic/Center | 609 S Redwood Ave, Broken Arrow, OK 74012-4516 | 2017-11-29 |
| 1346521549 | Holistic Counseling, Pllc | Clinic/Center | 840 S Aspen Ave Ste E, Broken Arrow, OK 74012-4803 | 2011-08-31 |
| 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 | BROKEN ARROW |
| Zip Code | 74014 |
Please comment or provide details below to improve the information on CREOKS MENTAL HEALTH SERVICES.
| 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.