PENNINGTON CREEK LIFE HOUSE
NPI 1922246115
Community/Behavioral Health in Coalgate, OK

Q: What is Pennington Creek Life House's NPI number?

The NPI number for Pennington Creek Life House is 1922246115. It was assigned to this organization in the NPPES registry on January 27, 2009.

Q: What is Pennington Creek Life House's specialty?

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

Active since January 27, 2009

8 S MICHIGAN ST STE B, COALGATE, OK 74538(580) 310-4164 Get Directions Write a Review

NPPES record last updated: January 27, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Pennington Creek Life House NPPES

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

PENNINGTON CREEK LIFE HOUSE (NPI 1922246115) is a healthcare organization registered as a community/behavioral health in Coalgate, Oklahoma and active in the NPI registry since January 2009. The organization lists Jan M Wyatt, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1922246115

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePENNINGTON CREEK LIFE HOUSE

Location Address8 S MICHIGAN ST STE BCoalgate, OK 74538-2825

Mailing AddressPo Box 261Fittstown, OK 74842-0261 · (580) 310-4164

Phone(580) 310-4164

Organization SubpartNo

Authorized OfficialJan M WyattClinical Director · (580) 310-4164

Enumeration DateJanuary 27, 2009

✔ NPI 1922246115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in OK · 3877

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.

8 S MICHIGAN ST STE B, Coalgate, OK 74538

Open in Google Maps ↗

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 Pennington Creek Life House's NPI number?

The NPI number for Pennington Creek Life House is 1922246115. It was assigned to this organization in the NPPES registry on January 27, 2009.

Where is Pennington Creek Life House located?

Pennington Creek Life House is located at 8 S Michigan St Ste B, Coalgate, OK 74538. The listed phone number is (580) 310-4164.

What is Pennington Creek Life House'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 Pennington Creek Life House was last updated on January 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.