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EAGLE RIDGE
NPI 1326202003
Community Based Residential Treatment Facility, Mental Illness in Guthrie, OK

Active since July 11, 2008
1916 E PERKINS AVE, GUTHRIE, OK 73044(405) 282-8262 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagle Ridge NPPES

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

EAGLE RIDGE (NPI 1326202003) is a healthcare organization registered as a community based residential treatment facility, mental illness in Guthrie, Oklahoma and active in the NPI registry since July 2008. The organization lists Cynthia Jane Willis, Personnel & Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1326202003
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameEAGLE RIDGE
Location Address1916 E PERKINS AVEGuthrie, OK 73044-5804
Mailing AddressPo Box 1182Guthrie, OK 73044-1182 · (405) 282-8232 · Fax (405) 282-3305
Phone(405) 282-8262
Organization SubpartNo
Authorized OfficialCynthia Jane WillisPersonnel & Compliance Officer · (405) 858-2821
Enumeration DateJuly 11, 2008
Last NPPES UpdateApril 12, 2018
✔ NPI 1326202003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1916 E PERKINS AVE, Guthrie, OK 73044
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Other Providers at the Same Location NPPES 20

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

DAWN DANNETTE LEWIS BS, MS
Counselor (Addiction (Substance Use Disorder))
1916 E PERKINS AVE
GUTHRIE, OK 73044
Logan County (405) 282-8232
MS. RHONDA YVONNE SMITH PRSS
Case Manager/Care Coordinator
1916 E PERKINS AVE
GUTHRIE, OK 73044
Logan County (405) 282-8232
BETTY SUE GRAY PEER SPECIALIST
Peer Specialist
1916 E PERKINS AVE
GUTHRIE, OK 73044
Logan County (405) 887-0288
MS. AMY BETH WHEELER
Case Manager/Care Coordinator
1916 E PERKINS AVE
GUTHRIE, OK 73044
Logan County (405) 282-8232
FRANCISCO GARCIA-LEON
Peer Specialist
1916 E PERKINS AVE
GUTHRIE, OK 73044
Logan County (714) 514-8985
BRENT ROSS MCGALLIARD
Peer Specialist
1916 E PERKINS AVE
GUTHRIE, OK 73044
Logan County (405) 999-8440
BRANDI RAE BABCOCK
Peer Specialist
1916 E PERKINS AVE
GUTHRIE, OK 73044
Logan County (405) 282-8232
ROSLYN BRUNER
Student in an Organized Health Care Education/Training Program
1916 E PERKINS AVE
GUTHRIE, OK 73044
Logan County (405) 282-8232

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 Eagle Ridge's NPI number?

The NPI number for Eagle Ridge is 1326202003. It was assigned to this organization in the NPPES registry on July 11, 2008.

Where is Eagle Ridge located?

Eagle Ridge is located at 1916 E Perkins Ave, Guthrie, OK 73044. The listed phone number is (405) 282-8262.

What is Eagle Ridge's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Eagle Ridge was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.