SOUTHERN OKLAHOMA TREATMENT SERVICES, INC. (NPI# 1083786719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083786719 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OKLAHOMA TREATMENT SERVICES, INC. |
| Practice Address |
905 Holiday Dr Ardmore OK 73401-1216 |
| Practice Telephone | 5802265003 |
| Practice Fax Number | 5802264998 |
| Mailing Telephone | 5802265003 |
| Mailing Fax Number | 5802264998 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2009-11-05 |
| Authorized Official Name | MILTON EVANS (C.E.O.) |
| Authorized Official Telephone | 5803713672 |
| 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 | 200049040 E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565512 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 324 N Washington Ave, Durant, OK 74701-3642 | 2019-12-16 |
| 1093353492 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 113653 Old Highway 69, Checotah, OK 74426-8802 | 2019-12-16 |
| 1750709903 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 1309 Sw Washington Ave, Lawton, OK 73501-7231 | 2014-04-04 |
| 1962768697 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 2601 Nw Expressway Ste 101e, Oklahoma City, OK 73112-7232 | 2012-04-06 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1164567293 | Southern Oklahoma Treatment Services, Inc. | Case Management | 106 N Burris St, Tishomingo, OK 73460-2318 | 2007-02-20 |
| 1518002641 | Southern Oklahoma Treatment Services, Inc. | Case Management | 713 12th Ave Nw, Ardmore, OK 73401-5705 | 2007-02-20 |
| 1336284462 | Southern Oklahoma Treatment Services, Inc. | Case Management | 500 Hwy 70 North, Kingston, OK 73439 | 2007-02-20 |
| 1427193556 | Southern Oklahoma Treatment Services, Inc. | Case Management | 32 North Washington, Ardmore, OK 73401 | 2007-02-20 |
| 1609911734 | Southern Oklahoma Treatment Services, Inc. | Case Management | 303 East Court Street, Atoka, OK 74525 | 2007-02-20 |
| Street Address |
905 HOLIDAY DR |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123046 | Tonya R Collins | Peer Specialist | 905 Holiday Dr, Ardmore, OK 73401-1216 | 2020-10-29 |
| 1366928889 | Bria Danielle Tynes | Counselor | 905 Holiday Dr, Ardmore, OK 73401-1216 | 2018-07-18 |
| 1245745710 | Christina Lynn Clements | Case Manager/Care Coordinator | 905 Holiday Dr, Ardmore, OK 73401-1216 | 2017-12-06 |
| 1922461201 | Natosha Shelton | Counselor | 905 Holiday Dr, Ardmore, OK 73401-1216 | 2016-04-03 |
| 1396123840 | Mark A Slover | Counselor | 905 Holiday Dr, Ardmore, OK 73401-1216 | 2015-05-15 |
| 1891080818 | Danny Powell | Counselor | 905 Holiday Dr, Ardmore, OK 73401-1216 | 2011-06-17 |
| 1851612451 | Connie Murray | Counselor | 905 Holiday Dr, Ardmore, OK 73401-1216 | 2010-06-17 |
| 1932420536 | Mark Ray | Counselor | 905 Holiday Dr, Ardmore, OK 73401-1216 | 2010-06-17 |
| 1215267000 | Rebecca Huddleston | Counselor | 905 Holiday Dr, Ardmore, OK 73401-1216 | 2009-12-30 |
| 1740516962 | Sherrel Barnhart | Counselor | 905 Holiday Dr, Ardmore, OK 73401-1216 | 2009-10-22 |
| Find all providers in the same location | ||||
| 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 |
| 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 |
| 1063806958 | Yco Tulsa, Inc. | Clinic/Center | 115 W Broadway St, Suites 401 A and C, Ardmore, OK 73401-6205 | 2015-03-27 |
| 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.