| Providence Service Corporation Of Oklahoma | |
|
4645 W Gore Blvd Ste 5 Lawton OK 73505-5962 | |
| (580) 355-6800 | |
| (580) 355-0666 |
| Full Name | Providence Service Corporation Of Oklahoma |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4645 W Gore Blvd Ste 5, Lawton, Oklahoma |
| Authorized Official Name and Position | Breeann Marie Hoerning (AR AND BILLING MANAGER) |
| Authorized Official Contact | 5207476600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Service Corporation Of Oklahoma 620 N Craycroft Rd Tucson AZ 85711-1448 Ph: (520) 747-6600 | Providence Service Corporation Of Oklahoma 4645 W Gore Blvd Ste 5 Lawton OK 73505-5962 Ph: (580) 355-6800 |
| NPI Number | 1033279443 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033279443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Lynch & Lynch, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6205 W Gore Blvd, Lawton, OK 73505 Phone: 580-536-3900 Fax: 580-357-8787 | |
Neurohealth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Sw A Ave, Lawton, OK 73505 Phone: 580-248-1004 Fax: 580-248-1008 | |
Southern Oklahoma Treatment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1307 Sw Washington Ave, Lawton, OK 73501 Phone: 405-208-9354 | |
Jennifer Baker, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6425 Nw Cache Rd Ste 215, Lawton, OK 73505 Phone: 580-583-2133 | |
Resilient Pathways Therapy Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 Nw 47th St Ste B, Lawton, OK 73505 Phone: 858-352-8840 | |
Western Plains Youth & Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Sw D Ave, Ste. B, Lawton, OK 73501 Phone: 580-248-3065 Fax: 580-248-3370 |