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COMMUNITY YOUTH SERVICES OF SOUTHERN OKLAHOMA, INC.
NPI 1003949439
Clinic/Center - Adolescent and Children Mental Health in Ardmore, OK

Active since March 14, 2007
830 PARK ST SE, ARDMORE, OK 73401(580) 226-1838(580) 223-7856 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Community Youth Services Of Southern Oklahoma, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY YOUTH SERVICES OF SOUTHERN OKLAHOMA, INC. (NPI 1003949439) is a healthcare organization registered as an adolescent and children mental health in Ardmore, Oklahoma and active in the NPI registry since March 2007. The organization maintains a secondary practice location in Ardmore and lists Kaylyn Dawn Weldon Gary, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003949439
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCOMMUNITY YOUTH SERVICES OF SOUTHERN OKLAHOMA, INC.
Location Address830 PARK ST SEArdmore, OK 73401-8364
Mailing Address830 Park St SeArdmore, OK 73401-8364 · (580) 226-1838 · Fax (580) 223-7856
Phone(580) 226-1838
Fax(580) 223-7856
Organization SubpartNo
Authorized OfficialKaylyn Dawn Weldon GaryExecutive Director · (580) 226-1838
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1003949439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
830 PARK ST SE, Ardmore, OK 73401
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Secondary Practice Location 1

Location 115 Monroe St NEArdmore, OK 73401-2025 · Phone (580) 226-1838 · Fax (580) 223-7856

Other Identifiers 1

Medicaid100709510AOK

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHALENA OCTAVIA MOSLEY
Counselor (Professional)
830 PARK ST SE
ARDMORE, OK 73401
Carter County (580) 226-1838
MRS. KAYLYN DAWN WELDON GARY
Counselor (Professional)
830 PARK ST SE
ARDMORE, OK 73401
Carter County (580) 226-1838
HAVERDY LYN AVANT
Case Manager/Care Coordinator
830 PARK ST SE
ARDMORE, OK 73401
Carter County (817) 716-2558
KAELY LINDSAY LPC-CANDIDATE
Counselor
830 PARK ST SE
ARDMORE, OK 73401
Carter County (580) 226-1838
MCKINZIE RAY M.S, LPC-C
Counselor
830 PARK ST SE
ARDMORE, OK 73401
Carter County (580) 226-1838

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Youth Services Of Southern Oklahoma, Inc.'s NPI number?

The NPI number for Community Youth Services Of Southern Oklahoma, Inc. is 1003949439. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Community Youth Services Of Southern Oklahoma, Inc. located?

Community Youth Services Of Southern Oklahoma, Inc. is located at 830 Park St SE, Ardmore, OK 73401. The listed phone number is (580) 226-1838.

What is Community Youth Services Of Southern Oklahoma, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Community Youth Services Of Southern Oklahoma, Inc. was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.