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MELISSA PROVENCE
NPI 1861075830
Counselor - Mental Health in Idabel, OK

Active since April 28, 2021
2000 E LINCOLN RD, IDABEL, OK 74745(580) 286-6639 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Melissa Provence NPPES

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

MELISSA PROVENCE (NPI 1861075830) is an individual mental health provider in Idabel, Oklahoma and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1861075830
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELISSA PROVENCE
Location Address2000 E LINCOLN RDIdabel, OK 74745-7353
Mailing AddressPo Box 579Mcalester, OK 74502-0579
Phone(580) 286-6639
Sole ProprietorNo
Enumeration DateApril 28, 2021
NPPES CertifiedApril 28, 2021
✔ NPI 1861075830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2000 E LINCOLN RD, Idabel, OK 74745
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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.

BETHANY STEWART
Registered Nurse
2000 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6639
JANA K GALLOWAY BA, BHRS
Peer Specialist
2000 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6639
BROOK NICOLE MCBRAYER
Health and Wellness Coach
2000 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6639
LINDSAY M TROUT
Peer Specialist
2000 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6639
TE'RE MYRKS
Peer Specialist
2000 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6639
MS. MARY JACQUE ISHCOMER
Counselor (Mental Health)
2000 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6639
MRS. BRANDI LYNN FERGUSON B.A. B.H.R.S. C.M.-A
Counselor (Mental Health)
2000 E LINCOLN RD, BOX 1527
IDABEL, OK 74745
McCurtain County (580) 286-6639
KRYSTIN LEIGH CUNNINGHAM
Case Manager/Care Coordinator
2000 E LINCOLN RD
IDABEL, OK 74745
McCurtain County (580) 286-6639

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 Melissa Provence's NPI number?

The NPI number for Melissa Provence is 1861075830. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Melissa Provence located?

Melissa Provence practices at 2000 E Lincoln Rd, Idabel, OK 74745. The listed phone number is (580) 286-6639.

What is Melissa Provence's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Melissa Provence was last updated on April 28, 2021. 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.