Provider Demographics
NPI:1235359548
Name:OKLAHOMA MENTAL HEALTH COUNCIL
Entity type:Organization
Organization Name:OKLAHOMA MENTAL HEALTH COUNCIL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VERNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOUST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-424-7711
Mailing Address - Street 1:112 MICKLEY ST N
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:OK
Mailing Address - Zip Code:74834
Mailing Address - Country:US
Mailing Address - Phone:405-258-3070
Mailing Address - Fax:405-240-5008
Practice Address - Street 1:112 MICKLEY N
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:OK
Practice Address - Zip Code:74834
Practice Address - Country:US
Practice Address - Phone:405-258-3040
Practice Address - Fax:405-240-5008
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OKLAHOMA MENTAL HEALTH COUNCIL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-27
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK080079897251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health