PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
NPI 1295154581
Community/Behavioral Health in Idabel, OK

Q: What is Providence Service Corporation Of Oklahoma's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since April 15, 2014

116 SE AVE N, IDABEL, OK 74745(580) 924-6363 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Providence Service Corporation Of Oklahoma NPPES

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

PROVIDENCE SERVICE CORPORATION OF OKLAHOMA (NPI 1295154581) is a healthcare organization registered as a community/behavioral health in Idabel, Oklahoma and active in the NPI registry since April 2014. The organization lists Lynnette Richey, State Director, as its authorized official.

NPPES Registry Identity

NPI1295154581

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePROVIDENCE SERVICE CORPORATION OF OKLAHOMA

Location Address116 SE AVE NIdabel, OK 74745-5234

Mailing Address630 N Craycroft Rd, Suite 250Tucson, AZ 85711-1440 · (520) 747-6600 · Fax (520) 747-6613

Phone(580) 924-6363

Organization SubpartNo

Authorized OfficialLynnette RicheyState Director · (580) 924-6363

Enumeration DateApril 15, 2014

✔ NPI 1295154581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

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.

116 SE AVE N, Idabel, OK 74745

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Other Providers at the Same Location NPPES 13

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

COREY GRIFFIN M.S.

Counselor (Mental Health)

116 SE AVE N
IDABEL, OK 74745

McCurtain County (580) 286-6671

GLENDA GRIFFIN M.S.

Counselor

116 SE AVE N
IDABEL, OK 74745

McCurtain County (580) 286-6671

JUNE MATLOCK R.N

Counselor (Mental Health)

116 SE AVE N
IDABEL, OK 74745

McCurtain County (580) 286-6671

BARBARA JOHNSON M.ED.

Counselor

116 SE AVE N
IDABEL, OK 74745

McCurtain County (580) 286-6671

TRISTAN GRIFFIN M.E.D

Counselor (Mental Health)

116 SE AVE N
IDABEL, OK 74745

McCurtain County (580) 286-6671

GREGORY MATLOCK B.S.

Counselor (Mental Health)

116 SE AVE N
IDABEL, OK 74745

McCurtain County (580) 286-6671

BURTCHAL GRIFFIN M.S.

Counselor (Mental Health)

116 SE AVE N
IDABEL, OK 74745

McCurtain County (580) 286-6671

JEFFERY HENDERSON BA

Counselor

116 SE AVE N
IDABEL, OK 74745

McCurtain County (580) 286-6671

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 Providence Service Corporation Of Oklahoma's NPI number?

The NPI number for Providence Service Corporation Of Oklahoma is 1295154581. It was assigned to this organization in the NPPES registry on April 15, 2014.

Where is Providence Service Corporation Of Oklahoma located?

Providence Service Corporation Of Oklahoma is located at 116 SE Ave N, Idabel, OK 74745. The listed phone number is (580) 924-6363.

What is Providence Service Corporation Of Oklahoma's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Providence Service Corporation Of Oklahoma was last updated on April 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.