YCO TULSA, INC. (NPI# 1821482704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821482704 |
| Entity Type | Organization |
| Organization Name | YCO TULSA, INC. |
| Other Organization Name | YOUTHCARE OF OKLAHOMA |
| Practice Address |
127 N 3rd Ave Suites A and B Durant OK 74701-4700 |
| 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 |
127 N 3RD AVE SUITES A AND B |
| City | DURANT |
| State | OK |
| Zip Code | 74701-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396032066 | Miranda F Summit | Counselor | 127 N 3rd Ave, Durant, OK 74701-4700 | 2011-07-01 |
| 1376916791 | Rhiannon Reinecker | Counselor | 127 N 3rd Ave, Durant, OK 74701-4700 | 2015-11-06 |
| 1003282401 | Angel Novotny | Home Health | 127 N 3rd Ave, Durant, OK 74701-4700 | 2015-08-19 |
| 1992171391 | Katelynn Christine Russell | Home Health | 127 N 3rd Ave, Durant, OK 74701-4700 | 2015-08-19 |
| 1003246505 | Natasha Tom | Counselor | 127 N 3rd Ave, Durant, OK 74701-4700 | 2013-11-19 |
| 1104268192 | Elyse Schein | Counselor | 127 N 3rd Ave, Durant, OK 74701-4700 | 2013-07-19 |
| 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 |
| 1245764083 | Yco Tulsa, Inc | Clinic/Center | 1705 N Washington Ave Ste D, Durant, OK 74701-2100 | 2017-04-19 |
| 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.