| Creoks Mental Health Services | |
|
504 N Broadway Ave Shawnee OK 74801-6927 | |
| (405) 275-1844 | |
| (405) 275-1124 |
| Full Name | Creoks Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 504 N Broadway Ave, Shawnee, 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 323 W 6th St Okmulgee OK 74447-5019 Ph: (918) 756-9411 | Creoks Mental Health Services 504 N Broadway Ave Shawnee OK 74801-6927 Ph: (405) 275-1844 |
| NPI Number | 1730452459 |
|---|---|
| Provider Enumeration Date | 02/10/2012 |
| Last Update Date | 10/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730452459 | NPI | - | NPPES |
| 100734620 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 561 (Oklahoma) | Primary |
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