Organization
THE IVY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANTIA MARSHALL (OWNER)
(405) 827-4666
Entity
Organization
Contact information
Practice address
15980 TRAILHEAD RD, MCLOUD, OK 74851-5015
(405) 827-4666
(405) 383-4756
Mailing address
15980 TRAILHEAD RD, MCLOUD, OK 74851-5015
(405) 827-4666
(405) 383-4756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
02/18/2026
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