Creoks Mental Health
LBN: Creoks Mental Health
Creoks Mental Health is an health care organization with primary practice located at 323 W. 6Th Street , Okmulgee OK 74447. 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 can be contacted via phone (918) 756-9250, or through Black, Brent M via phone (918) 756-9411.
Contact Information
Primary practice address
323 W. 6Th Street
Okmulgee OK 74447
Phone: (918) 756-9250
Fax: (918) 756-2126
Website:
Authorized official contact:
Name: Black, Brent M Licensed Professional Counselor (LPC)
Phone: (918) 756-9411
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | 100734620G | Oklahoma |
| Agencies / Community/Behavioral Health | 251S00000X | 100734620A | Oklahoma |
Profile Details
| NPI number | 1720101439 |
|---|---|
| LBN Legal business name | Creoks Mental Health |
| DBA Doing business as | |
| Authorized official | Black, Brent M Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Oct 15th, 2019 - about 7 years ago |
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 | 1720101439 | NPPES |
| Oklahoma | MEDICAID | 100734620A | |
| Oklahoma | MEDICAID | 100734620G |
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