YCO TULSA, INC (NPI# 1245764083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245764083 |
| Entity Type | Organization |
| Organization Name | YCO TULSA, INC |
| Other Organization Name | YOUTHCARE OF OKLAHOMA |
| Practice Address |
1705 N Washington Ave Ste D Durant OK 74701-2100 |
| Mailing Address |
Po Box 95207 Oklahoma City OK 73143-5207 |
| Practice Telephone | 8669266552 |
| Mailing Telephone | 8669266552 |
| Mailing Fax Number | 5805474076 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | D'FAWN DOWNS (CCO) |
| Authorized Official Telephone | 5803837608 |
| Authorized Official Credential | M.ED., LPC |
| 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 |
| Other Name | Type Code |
|---|---|
| YouthCare of Oklahoma | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1604 N Washington Ave, Durant, OK 747012128 | 8669266552 | 5805474076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164958567 | Yco Tulsa, Inc | Counselor | 1458 E Steve Owens Blvd, Miami, OK 74354 | 2017-05-04 |
| 1902331820 | Yco Tulsa, Inc | Counselor | 521 N Mccracken St, Chouteau, OK 74337-2033 | 2017-04-28 |
| 1518327857 | Yco Tulsa, Inc | Clinic/Center | 1101a South Mcquarrie, Wagoner, OK 74467 | 2016-02-29 |
| 1982064226 | Yco Tulsa, Inc | Clinic/Center | 1519 E Steve Owens Blvd, Miami, OK 74354 | 2016-02-29 |
| 1245699339 | Yco Tulsa, Inc | Clinic/Center | 447 S Wood St, Pryor, OK 74361-6043 | 2016-02-17 |
| 1457710584 | Yco Tulsa, Inc | Clinic/Center | 1108 S 4th St Ste 200, Chickasha, OK 73018-4634 | 2016-02-17 |
| 1013224716 | Yco Tulsa, Inc | Counselor | 603 W 12th St, Claremore, OK 74017-4013 | 2010-09-02 |
| 1871502047 | Yco Tulsa, Inc | Counselor | 1323 N 16th Ave, Durant, OK 74701-2134 | 2006-08-06 |
| 1629087895 | Yco Tulsa, Inc | Counselor | 105 Janets Way Ste B, Elk City, OK 73644-4803 | 2006-08-05 |
| 1679009104 | Yco Tulsa, Inc | Counselor | 447 S Wood St, Pryor, OK 74361-6043 | 2017-05-03 |
| Street Address |
1705 N WASHINGTON AVE STE D |
| City | DURANT |
| State | OK |
| Zip Code | 74701-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083070395 | Clara Rutledge | Counselor | 1705 N Washington Ave Ste D, Durant, OK 74701-2100 | 2016-01-04 |
| 1588217541 | Briana Wheeler | Case Manager/Care Coordinator | 1705 N Washington Ave Ste D, Durant, OK 74701-2100 | 2019-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| 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 |
|---|---|---|---|---|
| 1366735144 | Bylynn Vanzandt | Clinic/Center | 715 N. 1st, Durant, OK 74701 | 2011-05-26 |
| 1427104546 | Lighthouse Behavioral Wellness Centers | Clinic/Center | 2425 W University Blvd Ste 102, Durant, OK 74701-2970 | 2007-01-25 |
| 1518021286 | Sequelcare of Oklahoma, LLC | Clinic/Center | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-20 |
| 1407916802 | Providence Service Corporation of Oklahoma | Clinic/Center | 134 N 12th Ave, Durant, OK 74701-4718 | 2006-12-08 |
| 1487723276 | Southern Oklahoma Treatment Services, Inc. | Clinic/Center | 715 N 1st Ave, Durant, OK 74701-3801 | 2006-11-07 |
| 1093817942 | Oklahoma Families First Inc | Clinic/Center | 4216 Commercial Ln, Durant, OK 74701-7785 | 2006-09-02 |
| 1336152545 | S-okla Psychological Services, Inc. | Clinic/Center | 124 W Cedar St, Durant, OK 74701-4216 | 2006-08-15 |
| 1821482704 | Yco Tulsa, Inc. | Clinic/Center | 127 N 3rd Ave, Suites A and B, Durant, OK 74701-4700 | 2015-03-27 |
| 1952722662 | Jo Lyn Manry | Clinic/Center | 1001 W Main St, Durant, OK 74701-5038 | 2013-12-23 |
| 1104196385 | Rebekah L Hartman | Clinic/Center | 715 N 1st Ave, Durant, OK 74701-3801 | 2012-01-05 |
| Find all providers in DURANT | ||||
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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.