Pine Ridge Mental Healthcare, Llc

LBN: Pine Ridge Mental Healthcare, Llc
Pine Ridge Mental Healthcare, Llc is an health care organization with primary practice located at 8422 N 123Rd East Ave , Owasso OK 74055-2130. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Licensed Practical Nurse, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Nursing Service Related Providers / Nurse's Aide. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Pine Ridge Mental Healthcare, Llc can be contacted via phone (918) 858-4353, or through Mason, Nicole via phone (618) 781-8686.

Contact Information

Primary practice address
8422 N 123Rd East Ave Owasso OK 74055-2130
Phone: (918) 858-4353
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mason, Nicole Physician Assistant (PA)
Phone: (618) 781-8686

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X
Nursing Service Providers / Licensed Practical Nurse 164W00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1346828050
LBN Legal business name Pine Ridge Mental Healthcare, Llc
DBA Doing business as
Authorized official Mason, Nicole Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2021
Last updated Dec 2nd, 2022 - about 4 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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