Organization
CREOKS MENTAL HEALTH SEERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDI SMITH LPC (CLINICAL DIRECTOR)
(918) 382-7300
Entity
Organization
Contact information
Practice address
401 S DEWEY AVE STE 108, BARTLESVILLE, OK 74003-3525
(918) 336-0810
(918) 336-0836
Mailing address
4301 SOUTH YALE AVE, STE B, TULSA, OK 74135
(918) 382-7300
(918) 382-7302
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CMHC-561
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734620
—
OK
Enumeration date
02/10/2012
Last updated
10/11/2019
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