Organization
CREOKS MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA TALBOT (GOHEALTH HELPDESK MANAGER)
(918) 382-7300
Entity
Organization
Contact information
Practice address
2548 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 355-0993
Mailing address
4103 S YALE AVE STE B, TULSA, OK 74135-6002
(918) 382-7300
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734620
—
OK
Enumeration date
09/24/2019
Last updated
10/15/2019
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