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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GRAND LAKE MENTAL HEALTH CENTER INC
NPI 1700709128
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pryor, OK

Active since August 03, 2026
231 E GRAHAM AVE, PRYOR, OK 74361(918) 825-1405(918) 205-4830 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 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 1700709128), doing business as Grand Mental Health, is a healthcare organization registered as a mental health (including community mental health center) in Pryor, Oklahoma and active in the NPI registry since August 2026. The organization lists Joshua Cantwell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700709128
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAND LAKE MENTAL HEALTH CENTER INC
Location Address231 E GRAHAM AVEPryor, OK 74361-2436
Mailing Address114 W Delaware AveNowata, OK 74048-2601 · (918) 273-1841 · Fax (918) 273-1843
Phone(918) 825-1405
Fax(918) 205-4830
Organization SubpartNo
Authorized OfficialJoshua CantwellCeo · (918) 284-9807
Enumeration DateAugust 3, 2026
NPPES CertifiedAugust 3, 2026
✔ NPI 1700709128 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
231 E GRAHAM AVE, Pryor, OK 74361
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Other Names 1

Doing Business AsGrand Mental Health

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.

TRACY PRUITT
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
MICKI ERWIN
Licensed Practical Nurse
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (844) 458-2100
TEDDY ALLEN PENNYPACKER RN
Registered Nurse (Case Management)
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
HILARY NICOLE ADMIRE
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
JACQUELINE MARIE FLYNN
Counselor (Mental Health)
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
JO ANNE RENEE HENDERSON BA
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
SHANNON RENE' STABERS
Peer Specialist
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1406
LISA MIKSELL
Peer Specialist
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405

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 1700709128. It was assigned to this organization in the NPPES registry on August 3, 2026. The provider is doing business as Grand Mental Health.

Where is Grand Lake Mental Health Center Inc located?

Grand Lake Mental Health Center Inc is located at 231 E Graham Ave, Pryor, OK 74361. The listed phone number is (918) 825-1405.

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 August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.