Organization · Type 2 NPI
Grand Lake Mental Health Center, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) · Wagoner, OK
NPI number
1689165631
Active
Practice location
26243 Highway 51
Wagoner, OK 74467-8740
Fax (918) 999-0109
Mailing address
114 W Delaware Ave
Nowata, OK 74048-2601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
7 other providers at this address
- Andrea HamletCase Manager/Care Coordinator Wagoner, OK NPI 1164930822
- Cortez De'angelo EdwardsCase Manager/Care Coordinator Wagoner, OK NPI 1699204792
- Haley DixonMental Health Counselor Wagoner, OK NPI 1417323254
- Laura Darlene PattersonCase Manager/Care Coordinator Wagoner, OK NPI 1871052423
- Misty Foutch, MA, BHCM IIMental Health Counselor Wagoner, OK NPI 1568838597
- Shawna Danette Martin, BACase Manager/Care Coordinator Wagoner, OK NPI 1750547816
- Zach PierceCase Manager/Care Coordinator Wagoner, OK NPI 1487180022
Other mental health clinic/center (including community mental health center) providers in Wagoner
About NPI 1689165631
Grand Lake Mental Health Center, Inc.'s National Provider Identifier is 1689165631, issued on May 25, 2018. 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 May 25, 2018.