| Creoks Mental Health Services | |
|
120 E Illinois Ave Suite 200/201 Vinita OK 74301-3202 | |
| (918) 256-9961 | |
| (918) 256-9941 |
| Full Name | Creoks Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 E Illinois Ave, Vinita, 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 120 E Illinois Ave Suite 200/201 Vinita OK 74301-3202 Ph: (918) 256-9961 |
| NPI Number | 1023381985 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 10/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023381985 | NPI | - | NPPES |
| 100734620 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CMHC-561 (Oklahoma) | Primary |
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