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GRAND LAKE MENTAL HEALTH CENTER, INC.
NPI 1689165631
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wagoner, OK

Active since May 25, 2018
26243 HIGHWAY 51, WAGONER, OK 74467(918) 708-3006(918) 999-0109 Get Directions Write a Review

NPPES record last updated: May 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grand Lake Mental Health Center, Inc. NPPES

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

GRAND LAKE MENTAL HEALTH CENTER, INC. (NPI 1689165631) is a healthcare organization registered as a mental health (including community mental health center) in Wagoner, Oklahoma and active in the NPI registry since May 2018. The organization lists Charles Danley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689165631
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAND LAKE MENTAL HEALTH CENTER, INC.
Location Address26243 HIGHWAY 51Wagoner, OK 74467-8740
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841 · Fax (918) 273-1843
Phone(918) 708-3006
Fax(918) 999-0109
Organization SubpartNo
Authorized OfficialCharles DanleyCeo · (918) 273-1841
Enumeration DateMay 25, 2018
✔ NPI 1689165631 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
26243 HIGHWAY 51, Wagoner, OK 74467
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Other Providers at the Same Location NPPES 7

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

ANDREA HAMLET
Case Manager/Care Coordinator
26243 HIGHWAY 51
WAGONER, OK 74467
Wagoner County (918) 614-0778
HALEY DIXON
Counselor (Mental Health)
26243 HIGHWAY 51
WAGONER, OK 74467
Wagoner County (918) 614-0778
ZACH PIERCE
Case Manager/Care Coordinator
26243 HIGHWAY 51
WAGONER, OK 74467
Wagoner County (918) 641-0778
MISTY FOUTCH MA, BHCM II
Counselor (Mental Health)
26243 HIGHWAY 51
WAGONER, OK 74467
Wagoner County (918) 614-0778
MR. CORTEZ DE'ANGELO EDWARDS
Case Manager/Care Coordinator
26243 HIGHWAY 51
WAGONER, OK 74467
Wagoner County (918) 614-0778
SHAWNA DANETTE MARTIN BA
Case Manager/Care Coordinator
26243 HIGHWAY 51
WAGONER, OK 74467
Wagoner County (918) 935-7668
LAURA DARLENE PATTERSON
Case Manager/Care Coordinator
26243 HIGHWAY 51
WAGONER, OK 74467
Wagoner County (918) 614-0778

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 Grand Lake Mental Health Center, Inc.'s NPI number?

The NPI number for Grand Lake Mental Health Center, Inc. is 1689165631. It was assigned to this organization in the NPPES registry on May 25, 2018.

Where is Grand Lake Mental Health Center, Inc. located?

Grand Lake Mental Health Center, Inc. is located at 26243 Highway 51, Wagoner, OK 74467. The listed phone number is (918) 708-3006.

What is Grand Lake Mental Health Center, Inc.'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 Grand Lake Mental Health Center, Inc. was last updated on May 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.