YCO TULSA, INC.


Address: 115 W Broadway St, Suites 401 A and C, Ardmore, OK 73401-6205
Phone: 8669266552

YCO TULSA, INC. (NPI# 1063806958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063806958
Entity Type Organization
Organization Name YCO TULSA, INC.
Other Organization Name YOUTHCARE OF OKLAHOMA
Practice Address 115 W Broadway St
Suites 401 A and C
Ardmore
OK 73401-6205
Mailing Address Po Box 95207
Oklahoma City
OK 73143-5207
Practice Telephone 8669266552
Practice Fax Number 4052700543
Mailing Telephone 8669266552
Mailing Fax Number 4052700543
Enumeration Date 2015-03-27
Last Update Date 2015-03-27
Authorized Official Name BRANDELINE RENE BROWN (PRESIDENT)
Authorized Official Telephone 4054439991
Authorized Official Credential MSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OK 200333190 05

Other Provider/Organization Names

Other Name Type Code
YouthCare of Oklahoma Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1740640648 Yco Tulsa, Inc. Clinic/Center 2100 North Louis Tittle, Suites 122-124 and 147-148, Mangum, OK 73554 2016-03-04
1083074397 Yco Tulsa, Inc. Clinic/Center 502 Whitaker Street, Chouteau, OK 74337 2016-02-29
1174034342 Yco Tulsa, Inc. Clinic/Center 1809 Commons Cir Ste B, Yukon, OK 73099-9528 2017-10-16
1366836249 Yco Tulsa, Inc. Clinic/Center 314 S Broadway Ave, Suite 106, Ada, OK 74820-5828 2015-03-27
1255725149 Yco Tulsa, Inc. Clinic/Center 1602 N D St, Suites A and B, Mcalester, OK 74501-2314 2015-03-27
1447644323 Yco Tulsa, Inc. Clinic/Center 221 N Wewoka Ave, Wewoka, OK 74884-2221 2015-03-27
1669866547 Yco Tulsa, Inc. Clinic/Center 605 S 1st St, Suite A, Madill, OK 73446-3807 2015-03-27
1376937250 Yco Tulsa, Inc. Clinic/Center 2600 W Broadway Ave, Suite 2, Sulphur, OK 73086-6509 2015-03-27
1336533223 Yco Tulsa, Inc. Clinic/Center 705 W 13th St, Atoka, OK 74525-3712 2015-03-27
1346634227 Yco Tulsa, Inc. Clinic/Center 512 E 24th St, Suites A and C, Tishomingo, OK 73460-3214 2015-03-27

Office Location

Street Address 115 W BROADWAY ST
SUITES 401 A AND C
City ARDMORE
State OK
Zip Code 73401-6205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487199527 Samantha Ezell Counselor 115 W Broadway St, 401, Ardmore, OK 73401-6205 2016-12-28
1073970562 Candice Chapman Counselor 115 W Broadway St, Suite 401, Ardmore, OK 73401-6205 2016-01-28
1720454127 Susan Mayes Home Health 115 W Broadway St, Suite 401, Ardmore, OK 73401-6205 2015-08-19
1811372543 Jennifer Fenn Community Health Worker 115 W Broadway St, Suite 401, Ardmore, OK 73401-6205 2015-07-23
1578860631 Brenda Kaye Smith Counselor 115 W Broadway St, Ardmore, OK 73401-6205 2011-02-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497391452 Abbie Deeann Mclemore Nurse Practitioner 915 10th Ave, Ardmore, OK 73401 2019-11-25
1790349991 Shirley Denise Brown Licensed Psychiatric Technician 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 2019-04-24
1427512359 Billy Joe Oshields Case Manager/Care Coordinator 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 2019-01-24
1174007595 Tawnya Dawn Peery Nurse Practitioner 1108 W. Walnut Drive, Ardmore, OK 73401 2018-09-21
1679055016 Teresa Marie Hernandez Behavior Technician 1219 K St. Nw, Ardmore, OK 73401 2018-09-01
1063991974 Sawyer Rae Shamburger Occupational Therapy Assistant 208 North Praire St, Pilot Point, TX 73401 2018-08-10
1417473521 Chelsye Bacon Peer Specialist 905 Holiday Drive, Ardmore, OK 73401 2017-08-21
1003279746 Jeni Presley Marriage & Family Therapist Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 2016-03-31
1982080909 Alison Hill Pharmacist 1111 N. Commerce, Ardmore, OK 73401 2015-07-31
1316346547 Olivia Larae Carrell Counselor 15 Monroe Street Ne, Ardmore, OK 73401 2014-08-13
Find all providers in zip 73401

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699290536 Creative Play & Family Counseling Clinic/Center 233 E Lancaster Ave Ste 104, Ardmore, PA 19003-2321 2017-08-11
1144404252 Mental Health Services of Southern Oklahoma Clinic/Center 91 Broadlawn, Ardmore, OK 73401 2007-12-26
1336275247 Alternative Opportunities Inc. Clinic/Center 27 B South West, Suite 100 & 200, Ardmore, OK 73401 2007-02-26
1710023924 Mental Health Services of Southern Oklahoma Clinic/Center 93 Broadlawn, Ardmore, OK 73401-6337 2007-01-29
1912053612 Lighthouse Behavioral Wellness Centers Clinic/Center 2530 S Commerce, Bldg B, Ardmore, OK 73401 2007-01-26
1083786719 Southern Oklahoma Treatment Services, Inc. Clinic/Center 905 Holiday Dr, Ardmore, OK 73401-1216 2006-11-15
1790887602 Oklahoma Families First Inc Clinic/Center 1301 Kiowa St, Ardmore, OK 73401-2280 2006-09-01
1922646678 Karlee Craddock Pllc Clinic/Center 301 W Main St Ste 202, Ardmore, OK 73401-6322 2019-12-12
1285168021 Yco Tulsa, Inc Clinic/Center 1301 Kiowa St, Ardmore, OK 73401-2280 2017-04-19
1568722379 Lynch Family Services LLC Clinic/Center 333 W Main St, Suite 260, Ardmore, OK 73401-6326 2012-05-26
Find all providers in ARDMORE

Competitor

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City ARDMORE
Zip Code 73401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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