Creoks Mental Health Services

LBN: Creoks Mental Health Services
Creoks Mental Health Services is an health care organization with primary practice located at 711 S Muskogee Ave , Tahlequah OK 74464-4717. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Creoks Mental Health Services can be contacted via phone (918) 207-0078, or through Black, Brent M. via phone (918) 756-9411.

Contact Information

Primary practice address
711 S Muskogee Ave Tahlequah OK 74464-4717
Phone: (918) 207-0078
Fax: (918) 207-0558
Website:
Map and Directions
Authorized official contact:
Name: Black, Brent M. Licensed Professional Counselor (LPC)
Phone: (918) 756-9411

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 100734620L Oklahoma

Profile Details

NPI number 1043331499
LBN Legal business name Creoks Mental Health Services
DBA Doing business as
Authorized official Black, Brent M. Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Oct 15th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043331499 NPPES
Oklahoma MEDICAID 100734620L

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