Organization
TENKILLER BEHAVIORAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTA PETERSON LPC (LPC CO ADMINISTRATOR)
(918) 422-4888
Entity
Organization
Contact information
Practice address
201 MAIN STREET, WATTS, OK 74964-0332
(918) 422-4888
(918) 422-5779
Mailing address
27753 S WELLING RD, WELLING, OK 74471-2202
(918) 457-4999
(918) 457-4104
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
OK
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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