Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
STATE OF OKLAHOMA
Active
Organization
STATE OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN NICKELSON LADC/LCSW (EXECUTIVE DIRECTOR)
(580) 571-3231
Entity
Organization
Contact information
Practice address
1222 10TH STREET, SUITE 211, NORTHWEST CENTER FOR BEHAVIORAL HEALTH, WOODWARD, OK 73801-3156
(580) 571-3217
(580) 256-8609
Mailing address
1222 10TH STREET, SUITE 211, NORTHWEST CENTER FOR BEHAVIORAL HEALTH, WOODWARD, OK 73801-3156
(580) 571-3217
(580) 256-8609
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100707390A
—
OK
Enumeration date
11/20/2006
Last updated
03/24/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers