Organization
BRIGHTER HEIGHTS OKLAHOMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY MCKINNON MSW, LCSW, LADC (EXEC DIR)
(580) 298-2830
Entity
Organization
Contact information
Practice address
128 N 12TH AVE, DURANT, OK 74701-4718
(580) 745-9276
(580) 920-9056
Mailing address
PO BOX 1030, ANTLERS, OK 74523-1030
(580) 298-2830
(580) 298-6723
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744370K
—
OK
Enumeration date
12/21/2006
Last updated
06/28/2024
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