SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC. (NPI# 1841618097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841618097 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC. |
| Practice Address |
771 W 13th St Atoka OK 74525-3712 |
| Mailing Address |
Po Box 1710 Kingston OK 73439-1710 |
| Practice Telephone | 5808895555 |
| Mailing Telephone | (580) 564-7374 |
| Mailing Fax Number | 5805647362 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | VIRGINIA RAGAN (CEO) |
| Authorized Official Telephone | 5807459610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100708380 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472137 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 701 C St, Elgin, OK 73538-9080 | 2018-10-02 |
| 1093131328 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 127 North 3rd Avenue, Durant, OK 74701-0000 | 2014-03-11 |
| 1710228853 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 605 1st Street, Madill, OK 73446 | 2013-03-14 |
| 1790042117 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 34 N Washington St, Ardmore, OK 73401-7013 | 2012-04-23 |
| 1093072126 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 2600 W Broadway Ave Ste 2, Sulphur, OK 73086-6510 | 2012-04-13 |
| 1255648580 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 39 East Foley, Eufaula, OK 74432 | 2010-09-08 |
| 1750611885 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | Old Hwy 69 Texanna Road, Chectoah, OK 74426 | 2010-01-13 |
| 1447587787 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 39 East Foley Ave, Eufuala, OK 74432-2805 | 2009-11-06 |
| 1346575883 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 115 W Broadway St Ste 401, Ardmore, OK 73401-6210 | 2009-10-15 |
| 1194104109 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 716 S 10th St, Duncan, OK 73533-5278 | 2015-05-22 |
| Street Address |
771 W 13TH ST |
| City | ATOKA |
| State | OK |
| Zip Code | 74525-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770077299 | Michael Mcclellan | Case Manager/Care Coordinator | 771 W 13th St, Atoka, OK 74525-3712 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383493 | Brandi Genita Neese | Peer Specialist | 1097.2 S Farris Rd, Atoka, OK 74525 | 2019-12-19 |
| 1043739717 | Crystal Gossett | Student in an Organized Health Care Education/Training Program | 1680 S Greathouse Drive, Atoka, OK 74525 | 2017-09-14 |
| 1124544580 | Regina Pfaff | Student in an Organized Health Care Education/Training Program | 1680 S. Greathouse Drive, Atoka, OK 74525 | 2017-08-17 |
| 1730533860 | Wild Horse Counseling Service, LLC | Community/Behavioral Health | 1088 S Gin Rd., Atoka, OK 74525 | 2016-04-14 |
| 1740651801 | Aleisha Williams | Counselor | 101 S. Jefferson Hwy, Atoka, OK 74525 | 2015-10-15 |
| 1013383793 | Kay Banks | Student in an Organized Health Care Education/Training Program | 706 S. Greathouse Drive, Atoka, OK 74525 | 2015-08-17 |
| 1871977926 | Malinda Leann Mccall | Speech-Language Pathologist | 706 S Greathouse Drive, Atoka, OK 74525 | 2015-07-17 |
| 1467834069 | Christi Curry | Student in an Organized Health Care Education/Training Program | 800 South Greathouse Drive, Atoka, OK 74525 | 2015-06-19 |
| 1215318944 | Lauren Baker | Student in an Organized Health Care Education/Training Program | 706 South Greathouse Drive, Atoka, OK 74525 | 2015-06-18 |
| 1104210251 | Kheri Smith | Counselor | 1401 S Gin Rd, Atoka, OK 74525 | 2015-03-26 |
| Find all providers in zip 74525 | ||||
| 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 |
|---|---|---|---|---|
| 1730533860 | Wild Horse Counseling Service, LLC | Community/Behavioral Health | 1088 S Gin Rd., Atoka, OK 74525 | 2016-04-14 |
| 1285839860 | Counseling, Inc | Community/Behavioral Health | 200 E Court St, Atoka, OK 74525-2056 | 2007-06-15 |
| 1871619445 | Carl Albert Community Mental Health Center | Community/Behavioral Health | 401 S Greathouse Dr, Atoka, OK 74525-1647 | 2007-03-22 |
| 1689212086 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 321 E Court St, Atoka, OK 74525-2047 | 2019-12-16 |
| 1497117311 | Faith Based Counseling LLC | Community/Behavioral Health | 120 E Court St, Atoka, OK 74525-2032 | 2016-03-22 |
| 1104297159 | Heritage Counseling Services, LLC | Community/Behavioral Health | 1410 S Gin Rd, Atoka, OK 74525-7348 | 2015-10-16 |
| 1285978437 | Southeastern Oklahoma Family Services | Community/Behavioral Health | 705 W 13th St, Atoka, OK 74525-3712 | 2012-11-11 |
| 1699020974 | Crossroads Counseling of Southeast Oklahoma, Pllc | Community/Behavioral Health | 620 E Court St, Atoka, OK 74525-3016 | 2012-07-23 |
| 1710245212 | Freedom Counseling Center LLC | Community/Behavioral Health | 120 E Court St, Atoka, OK 74525-2032 | 2012-05-03 |
| 1164713624 | Lxe Counseling Services,llc | Community/Behavioral Health | 303 S Mississippi Ave, Atoka, OK 74525-2251 | 2011-05-02 |
| Find all providers in ATOKA | ||||
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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.