CREOKS MENTAL HEALTH SERVICES


Address: 4704 Nw Motif Manor Blvd Ste 4, Lawton, OK 73505-4800
Phone: 5805817246

CREOKS MENTAL HEALTH SERVICES (NPI# 1699310276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699310276
Entity Type Organization
Organization Name CREOKS MENTAL HEALTH SERVICES
Practice Address 4704 Nw Motif Manor Blvd Ste 4
Lawton
OK 73505-4800
Mailing Address 4103 S Yale Ave Ste B
Tulsa
OK 74135-6002
Practice Telephone 5805817246
Practice Fax Number 5805817256
Mailing Telephone 9183827300
Enumeration Date 2019-11-07
Last Update Date 2019-11-07
Authorized Official Name TABITHA TALBOT (GOHEALTH HELPDESK MANAGER)
Authorized Official Telephone 9183827300
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

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
1598316358 Creoks Mental Health Services Clinic/Center 2548 E Kenosha St, Broken Arrow, OK 74014-6712 2019-09-24
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

Office Location

Street Address 4704 NW MOTIF MANOR BLVD STE 4
City LAWTON
State OK
Zip Code 73505-4800

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134744006 Angela Janell Smith Case Manager/Care Coordinator 4904 Nw Smith Ave, Lawton, OK 73505 2020-06-16
1295383990 Akeemia Lorene Holder Case Manager/Care Coordinator Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 2019-08-27
1225685480 Healthstat Onsite Clinic Goodyear Vision Center Preventive Medicine 1 Goodyear Blvd, Lawton, OK 73505 2019-08-22
1891285300 Michael Anthony Gray Case Manager/Care Coordinator 2218 Nw 36th St, Lawton, OK 73505 2018-05-10
1841797362 Adeshola T Fatuyi Case Manager/Care Coordinator 7301 Sw Lee 635, Lawton, OK 73505 2018-04-11
1912425539 Heather Shea Morefield Case Manager/Care Coordinator 2712 Sw H Ave, Lawton, OK 73505 2017-09-04
1972031367 Burke Hendricks Emergency Medicine 3401 West Gore Boulevard, Lawton, OH 73505 2017-05-30
1932642279 Helery Vance Peer Specialist 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 2016-11-18
1629523436 Sebrina Sheppard Case Manager/Care Coordinator 3907 Sw Parkridge Blvd., Lawton, OK 73505 2016-08-22
1376913590 David Lee Atauvich Registered Nurse 1515 Lawrie Rd, Lawton, OK 73505 2015-09-30
Find all providers in zip 73505

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992263776 Abundant Life Counseling Services Community/Behavioral Health 1105 Sw F Ave, Lawton, OK 73501-4720 2019-03-11
1427546514 Internal Connections Pllc Community/Behavioral Health 1303 W. Gore Blve, Suite 6, Lawton, OK 73501-3666 2018-04-25
1720517246 Community Strong Counseling LLC Community/Behavioral Health 1303 W Gore Blvd Ste 3, Lawton, OK 73501-3666 2017-06-08
1932569001 Jim Taliaferro Cmhc Community/Behavioral Health 327 Sw C Ave, Lawton, OK 73501-4016 2016-03-02
1174914287 Creative Life Counseling Services Community/Behavioral Health 502 North Sheridan, Suite 4, Lawton, OK 73505 2015-02-11
1750709903 Southern Oklahoma Treatment Services, Inc. Community/Behavioral Health 1309 Sw Washington Ave, Lawton, OK 73501-7231 2014-04-04
1699117796 Cordaris Onassis Butler Community/Behavioral Health 2800 West Gore Blvd, Lawton, OK 73505 2013-07-18
1295079705 Premier Behavorial Health Community/Behavioral Health 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 2012-11-21
1619255908 Eva Jane Fournier Community/Behavioral Health 1810 Nw Bell Ave, Lawton, OK 73507-6315 2011-08-03
1861636029 Life Management Counseling & Consulting Community/Behavioral Health 621 Sw D Ave, Lawton, OK 73501-4507 2009-04-30
Find all providers in LAWTON

Competitor

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City LAWTON
Zip Code 73505

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Dataset Information

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.

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