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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200333190 | 05 |
| Other Name | Type Code |
|---|---|
| YouthCare of Oklahoma | Doing Business As Name - Organization |
| 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 |
| Street Address |
115 W BROADWAY ST SUITES 401 A AND C |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-6205 |
| 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 |
| 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 Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| 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 | ||||
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| 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.