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

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: July 26, 2026.

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
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

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.

Counselor (Mental Health)
116 SE AVE N
IDABEL, OK 74745
Counselor
116 SE AVE N
IDABEL, OK 74745
Counselor (Mental Health)
116 SE AVE N
IDABEL, OK 74745
Counselor
116 SE AVE N
IDABEL, OK 74745
Counselor (Mental Health)
116 SE AVE N
IDABEL, OK 74745
Counselor (Mental Health)
116 SE AVE N
IDABEL, OK 74745
Counselor (Mental Health)
116 SE AVE N
IDABEL, OK 74745
Counselor
116 SE AVE N
IDABEL, OK 74745

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 with the weekly NPPES data releases published by CMS.