| Creoks Mental Health Services | |
|
2548 E Kenosha St Broken Arrow OK 74014-6712 | |
| (918) 355-0993 | |
| Not Available |
| Full Name | Creoks Mental Health Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2548 E Kenosha St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Tabitha Talbot (GOHEALTH HELPDESK MANAGER) |
| Authorized Official Contact | 9183827300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creoks Mental Health Services 4103 S Yale Ave Ste B Tulsa OK 74135-6002 Ph: (918) 382-7300 | Creoks Mental Health Services 2548 E Kenosha St Broken Arrow OK 74014-6712 Ph: (918) 355-0993 |
| NPI Number | 1598316358 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 10/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598316358 | NPI | - | NPPES |
| 100734620 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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