The Jetty Counseling Center
LBN: Jim Wallace & Associates, Inc
The Jetty Counseling Center is an health care organization with primary practice located at 1330 N Classen Blvd Ste 301 , Oklahoma City OK 73106-6834. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Jim Wallace & Associates, Inc can be contacted via phone (405) 665-4385, or through Rue-Wallace, Teresa Gale via phone (405) 665-4385.
Contact Information
Primary practice address
1330 N Classen Blvd Ste 301
Oklahoma City OK 73106-6834
Phone: (405) 665-4385
Fax: (405) 665-6396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1073831350 |
|---|---|
| LBN Legal business name | Jim Wallace & Associates, Inc |
| DBA Doing business as | The Jetty Counseling Center |
| Authorized official | Rue-Wallace, Teresa Gale MASTERS SCIENCE |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 11th, 2010 |
| Last updated | Sep 10th, 2021 - about 5 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 | 1073831350 | NPPES |
| Oklahoma | MEDICAID | 100749080 |
Popular Providers
-
New Discoveries Youth And Family Services, Inc.
628 Ne 4Th St , Oklahoma City OK 73104-6256 -
Sid Kramer, Lsw Pc
3601 N Classen Blvd Suite 106, Oklahoma City OK 73118-3231 -
Oklahoma Psychological Center
1117 Nw 50 , Oklahoma City OK 73118-4401 -
Oklahoma Mental Health Council
4400 N Lincoln Blvd , Oklahoma City OK 73105-5104 -
Minding Minds
11032 Quail Creek Rd , Oklahoma City OK 73120-6219 -
Community Adolescent Rehabilitative Effort For Change Inc
3621 N Kelley Ave Ste 100, Oklahoma City OK 73111-4520 -
Cope
2701 N Oklahoma Ave , Oklahoma City OK 73105-2724 -
Covenant Youth & Family Services
3813 N Santa Fe Ave Suite 131, Oklahoma City OK 73118-8508