Organization · Type 2 NPI

Johnny D Green Mshr, Lpc,pc

Community/Behavioral Health Agency · Ardmore, OK

NPI number 1346665288 Active

Practice location

597 Colt Ln
Ardmore, OK 73401-9138

Call (580) 277-5423 Map

Fax (580) 657-2441

Mailing address

PO Box 1427
Ardmore, OK 73402-1427

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X4694 (OK)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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 suppo…

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About NPI 1346665288

Johnny D Green Mshr, Lpc,pc's National Provider Identifier is 1346665288, issued on Mar 1, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Ardmore, OK. The record was last updated on Mar 1, 2014.