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
Phone: (918) 227-2016
Fax: (918) 756-2126
Website:
Authorized official contact:
Name: Black, Brent M Licensed Professional Counselor (LPC)
Phone: (918) 382-7300
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912120452 | NPPES |
Oklahoma | MEDICAID | 100734620C | |
Oklahoma | MEDICAID | 100734620G |
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