Individual provider · Type 1 NPI

Shayla Ricchele Presley, BHA

Mental Health Clinic/Center (Including Community Mental Health Center) · Wagoner, OK

NPI number 1265049654 Active

Practice location

109 S Harrill Ave
Wagoner, OK 74467-5317

Call (918) 485-0242 Map

Mailing address

3036 S 214th St W
Boynton, OK 74422-5103

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1265049654

Shayla Ricchele Presley, BHA's National Provider Identifier is 1265049654, issued on Sep 29, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Wagoner, OK. The record was last updated on Jun 15, 2023.