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GRAND LAKE MENTAL HEALTH CENTER INC.
NPI 1982391728
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pryor, OK

Active since April 21, 2023
231 E GRAHAM AVE, PRYOR, OK 74361(918) 825-1405 Get Directions Write a Review

NPPES record last updated: April 21, 2023. 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 1982391728), 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 April 2023. The organization lists Larry Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982391728
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
Phone(918) 825-1405
Organization SubpartNo
Authorized OfficialLarry SmithCeo · (918) 273-1841
Enumeration DateApril 21, 2023
NPPES CertifiedApril 14, 2023
✔ NPI 1982391728 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

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 1982391728. It was assigned to this organization in the NPPES registry on April 21, 2023. 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.

What insurance does Grand Lake Mental Health Center Inc. accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Grand Lake Mental Health Center Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand Lake Mental Health Center Inc. was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.