Logan Community Services

LBN: Logan Community Services
Logan Community Services is an health care organization with primary practice located at 4710 S Division St , Guthrie OK 73044-6506. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Logan Community Services can be contacted via phone (405) 282-5524, or through Graves, Nichole D via phone (405) 282-5524.

Contact Information

Primary practice address
4710 S Division St Guthrie OK 73044-6506
Phone: (405) 282-5524
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graves, Nichole D LPC, LADC
Phone: (405) 282-5524

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oklahoma

Profile Details

NPI number 1669590949
LBN Legal business name Logan Community Services
DBA Doing business as
Authorized official Graves, Nichole D LPC, LADC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669590949 NPPES
Oklahoma MEDICAID 100733910A

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