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PROVIDENCE OF OKLAHOM
NPI 1407916802
Clinic/Center - Mental Health (Including Community Mental Health Center) in Durant, OK

Active since December 08, 2006
134 N 12TH AVE, DURANT, OK 74701(580) 924-6363(580) 924-0379 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Of Oklahom NPPES

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

PROVIDENCE OF OKLAHOM (NPI 1407916802) is a healthcare organization registered as a mental health (including community mental health center) in Durant, Oklahoma and active in the NPI registry since December 2006. The organization lists Breeann Marie Hoerning, Ar And Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1407916802
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePROVIDENCE SERVICE CORPORATION OF OKLAHOMA
Location Address134 N 12TH AVEDurant, OK 74701-4718
Mailing Address620 N Craycroft RdTucson, AZ 85711-1448 · (520) 747-6600 · Fax (520) 747-6613
Phone(580) 924-6363
Fax(580) 924-0379
Organization SubpartNo
Authorized OfficialBreeann Marie HoerningAr And Billing Manager · (520) 747-6600
Enumeration DateDecember 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407916802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
134 N 12TH AVE, Durant, OK 74701
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Other Names 1

Doing Business AsProvidence Of Oklahom

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.

PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
Case Management
134 N 12TH AVE
DURANT, OK 74701
Bryan County (580) 924-6363
DANIEL NELSON
Counselor (Mental Health)
134 N 12TH AVE
DURANT, OK 74701
Bryan County (580) 924-6363
SUZANNE MELUGIN MBS
Counselor (Professional)
134 N 12TH AVE
DURANT, OK 74701
Bryan County (580) 924-6363
MISS KEARSTON DANIELLE HADLEY
Case Management
134 N 12TH AVE
DURANT, OK 74701
Bryan County (580) 924-6363
CARLA WHITE RN
Registered Nurse
134 N 12TH AVE
DURANT, OK 74701
Bryan County (580) 924-6363
TAYLOR PAINTER
Counselor (Mental Health)
134 N 12TH AVE
DURANT, OK 74701
Bryan County (580) 924-6363
KAREN WILLIAMS MBS
Counselor (Professional)
134 N 12TH AVE
DURANT, OK 74701
Bryan County (580) 924-6363
TAMOLYN WILLIAMS
Counselor
134 N 12TH AVE
DURANT, OK 74701
Bryan County (580) 924-6363

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 1407916802. It was assigned to this organization in the NPPES registry on December 8, 2006. The provider is doing business as Providence Of Oklahom.

Where is Providence Service Corporation Of Oklahoma located?

Providence Service Corporation Of Oklahoma is located at 134 N 12th Ave, Durant, OK 74701. 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 Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Providence Service Corporation Of Oklahoma was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.