GRAND LAKE MENTAL HEALTH CENTER INC
NPI 1407673387
Community/Behavioral Health in Bartlesville, OK

Active since September 23, 2024
700 S PENN AVE, BARTLESVILLE, OK 74003(918) 337-8080(918) 337-8099 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About GRAND LAKE MENTAL HEALTH CENTER INC

This page provides the complete NPI Profile along with additional information for Grand Lake Mental Health Center Inc, a provider established in Bartlesville, Oklahoma operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1407673387 assigned on September 2024. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Larry Smith (Ceo)

NPI
1407673387 Verify this NPI
Provider Name
GRAND LAKE MENTAL HEALTH CENTER INC
Entity Type
Organization
Location Address
700 S PENN AVE BARTLESVILLE, OK 74003
Location Phone
(918) 337-8080
Location Fax
(918) 337-8099
Mailing Address
114 W DELAWARE AVE NOWATA, OK 74048
Mailing Phone
(918) 273-1841
Mailing Fax
(918) 273-1843
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2024
Last Update Date
09-23-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LARRY SMITH

Authorized Official Title
CEO
Authorized Official Phone
(918) 273-1841

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Counselor (Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Counselor (Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Counselor (Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Counselor (Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Counselor (Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Registered Nurse (Psychiatric/Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Licensed Practical Nurse
700 S PENN AVE, WASHINGTON COUNTY CLINIC
BARTLESVILLE, OK 74003
Registered Nurse (Psychiatric/Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Registered Nurse (Neuroscience)
700 S PENN AVE
BARTLESVILLE, OK 74003
Counselor (Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Counselor (Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Counselor (Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Counselor (Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Counselor (Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Counselor (Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Social Worker (Clinical)
700 S PENN AVE
BARTLESVILLE, OK 74003
Counselor (Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003
Counselor
700 S PENN AVE
BARTLESVILLE, OK 74003
Counselor (Mental Health)
700 S PENN AVE
BARTLESVILLE, OK 74003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407673387, enumerated as an "organization" on September 23, 2024.

The provider is located at 700 S PENN AVE BARTLESVILLE, OK 74003 and the phone number is (918) 337-8080.

Community/Behavioral Health with taxonomy code 251S00000X.