Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.
NPI 1104721562
Clinic/Center - Adult Mental Health in Norman, OK
Active since October 13, 2026
About NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NPPES Registry Identity
NPI1104721562
Entity TypeOrganization
Primary Taxonomy261QM0850X
Location Address2500 MCGEE DRNorman, OK 73072-6722
Mailing AddressPo Box 721232Norman, OK 73070-4940 · (405) 563-0485
Phone(405) 563-0485
Organization SubpartNo
Authorized OfficialHolli LogsdonOwner · (405) 312-8971
Enumeration DateOctober 13, 2026
NPPES CertifiedOctober 13, 2026
✔ NPI 1104721562 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2500 MCGEE DR, Norman, OK 73072
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinical Medical Laboratory
2500 MCGEE DR, SUITE 125
NORMAN, OK 73072
NORMAN, OK 73072