Creoks Mental Health Services

LBN: Creoks Mental Health Services
Creoks Mental Health Services is an health care organization with primary practice located at 23 E Ross Ave , Sapulpa OK 74066-6423. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Creoks Mental Health Services can be contacted via phone (918) 227-2016, or through Black, Brent M via phone (918) 382-7300.

Contact Information

Primary practice address
23 E Ross Ave Sapulpa OK 74066-6423
Fax: (918) 756-2126
Website:
Authorized official contact:
Name: Black, Brent M Licensed Professional Counselor (LPC)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 100734620G Oklahoma
Agencies / Community/Behavioral Health 251S00000X 100734620C Oklahoma

Profile Details

NPI number 1912120452
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 11th, 2007
Last updated Apr 5th, 2024 - about last year

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 1912120452 NPPES
Oklahoma MEDICAID 100734620C
Oklahoma MEDICAID 100734620G

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