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THE JETTY COUNSELING CENTER
NPI 1760527824
Community/Behavioral Health in Lawton, OK

Active since February 20, 2007
1201 NW ARLINGTON AVE, SUITE D, LAWTON, OK 73507(580) 354-1555(405) 665-6396 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About The Jetty Counseling Center NPPES

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

THE JETTY COUNSELING CENTER (NPI 1760527824) is a healthcare organization registered as a community/behavioral health in Lawton, Oklahoma and active in the NPI registry since February 2007. The organization lists James E Wallace, Ceo Financial Administrator, as its authorized official.

NPPES Registry Identity

NPI1760527824
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameJIM WALLACE AND ASSOCIATES INC
Location Address1201 NW ARLINGTON AVE, SUITE DLawton, OK 73507-6570
Mailing Address202 S Washita AveWynnewood, OK 73098-7820 · (405) 665-4385 · Fax (405) 665-6396
Phone(580) 354-1555
Fax(405) 665-6396
Organization SubpartNo
Authorized OfficialJames E WallaceCeo Financial Administrator · (405) 665-4385
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760527824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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.
1201 NW ARLINGTON AVE, Lawton, OK 73507
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Other Names 1

Doing Business AsThe Jetty Counseling Center

Other Providers at the Same Location NPPES

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

LATASHA RENEE BURNETT M.S, LMFT
Marriage & Family Therapist
1201 NW ARLINGTON AVE, SUITE#E
LAWTON, OK 73507
Comanche County (580) 699-8680

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 Jim Wallace And Associates Inc's NPI number?

The NPI number for Jim Wallace And Associates Inc is 1760527824. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as The Jetty Counseling Center.

Where is Jim Wallace And Associates Inc located?

Jim Wallace And Associates Inc is located at 1201 NW Arlington Ave Suite D, Lawton, OK 73507. The listed phone number is (580) 354-1555.

What is Jim Wallace And Associates Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Jim Wallace And Associates Inc 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 6 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.