Organization
IRONGATE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE PORTER (OWNER)
(206) 492-0723
Entity
Organization
Contact information
Practice address
698 WESTSIDE DR, DURANT, OK 74701-3084
(206) 492-0723
Mailing address
698 WESTSIDE DR, DURANT, OK 74701-3084
(206) 492-0723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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