THUNDER CANYON COUNSELING CENTER, INC.
NPI 1003025990
Community/Behavioral Health in Alva, OK
- Organization
- Community/Behavioral Health
About THUNDER CANYON COUNSELING CENTER, INC.
This page provides the complete NPI Profile along with additional information for Thunder Canyon Counseling Center, Inc., a provider established in Alva, Oklahoma operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1003025990 assigned on May 2007. The practitioner's primary taxonomy code is 251S00000X with license number 1107 (OK). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Mark William Davis Ph.d. (Clinical Director)
- NPI
- 1003025990 Verify this NPI
- Provider Name
- THUNDER CANYON COUNSELING CENTER, INC.
- Entity Type
- Organization
- Location Address
- 1911 LOCUST ST ALVA, OK 73717
- Location Phone
- (580) 327-3846
- Mailing Address
- 1911 LOCUST ST ALVA, OK 73717
- Mailing Phone
- (580) 327-3846
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-21-2007
- Last Update Date
- 10-28-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 1107
- License State
- OK
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003025990, enumerated as an "organization" on May 21, 2007.
The provider is located at 1911 LOCUST ST ALVA, OK 73717 and the phone number is (580) 327-3846.
Community/Behavioral Health with taxonomy code 251S00000X.
