Organization
ANTHONYS SAFE-HAVEN
Active
Organization
ANTHONYS SAFE-HAVEN
Active
Other names
ANTHONY'S SAFE-HAVEN
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANTEL LOUISE DIXON LMSW-P (PRESIDENT & FOUNDER)
(918) 671-4090
Entity
Organization
Contact information
Practice address
12303 N 130TH EAST AVE, COLLINSVILLE, OK 74021-8003
(918) 671-4090
Mailing address
12303 N 130TH EAST AVE, COLLINSVILLE, OK 74021-8003
(918) 671-4090
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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