YCO TULSA, INC. (NPI# 1740640648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740640648 |
| Entity Type | Organization |
| Organization Name | YCO TULSA, INC. |
| Practice Address |
2100 North Louis Tittle Suites 122-124 and 147-148 Mangum OK 73554 |
| Mailing Address |
Po Box 95207 Oklahoma City OK 73143-5207 |
| Practice Telephone | 5803097961 |
| Mailing Telephone | 8669266552 |
| Mailing Fax Number | 5805474076 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | MR. ROBERT LOBATO (CEO) |
| Authorized Official Telephone | 8669266552 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 East Lincoln Street, Mangum, OK 735544295 | 8669266552 | 5805474076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1063806958 | Yco Tulsa, Inc. | Clinic/Center | 115 W Broadway St, Suites 401 A and C, Ardmore, OK 73401-6205 | 2015-03-27 |
| Street Address |
2100 NORTH LOUIS TITTLE SUITES 122-124 AND 147-148 |
| City | MANGUM |
| State | OK |
| Zip Code | 73554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845145 | Traci L Carrier | Licensed Practical Nurse | 115 S Lincoln St., Mangum, OK 73554 | 2019-01-30 |
| 1194295741 | Ez Sleep Solutions, Inc. | Dentist | 230 E. Jefferson, Mangum, OK 73554 | 2018-11-27 |
| 1881122976 | Lexie Noel Turner | Case Manager/Care Coordinator | 115 E Lincoln, Mangum, OK 73554 | 2017-06-01 |
| 1750748984 | Teryl Pearson | Counselor | 2 Wickersham Dr., New Hope Recovery Center, Mangum, OK 73554 | 2016-01-19 |
| 1437525532 | Kiley Reneah Bachelder | Case Manager/Care Coordinator | 2 Wichersham Drive, Mangum, OK 73554 | 2015-08-12 |
| 1376941732 | Dana Juarez | Marriage & Family Therapist | 2100 N Louis Tittle, Mangum, OK 73554 | 2014-12-16 |
| 1033388509 | Blackhawk Mangum, LLC | Clinic/Center | 118 South Louis Tittle, Mangum, OK 73554 | 2008-02-28 |
| 1104008168 | Blackhawk Mangum LLC | Medicare Defined Swing Bed Unit | One Wickersham Drive, Mangum, OK 73554 | 2007-12-03 |
| 1336356500 | Patrecia Ann Fite | Nurse Practitioner | 2100 North Louis Tittle Ave, Box 1, Mangum, OK 73554 | 2007-05-17 |
| 1164501433 | Bradley Paul Banister | Pharmacist | 1000 S. Louis Tittle, Mangum, OK 73554 | 2006-11-06 |
| Find all providers in zip 73554 | ||||
| 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 |
|---|---|---|---|---|
| 1417589920 | Michelle Dawn Mullens | Clinic/Center | 1003 E Tyler St, Mangum, OK 73554-3417 | 2020-02-12 |
| 1114265246 | New Hope Cdu LLC | Clinic/Center | 2 Wickersham St, Mangum, OK 73554-9117 | 2013-01-24 |
| 1427365139 | Yco Tulsa, Inc | Clinic/Center | 125 N Oklahoma Ave, Mangum, OK 73554-4279 | 2010-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
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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.