THE JETTY COUNSELING CENTER
NPI 1982748067
Community/Behavioral Health in Wynnewood, OK

Q: What is Jim Wallace And Associates Incorporated's specialty?

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

Active since February 20, 2007

202 S WASHITA AVE, WYNNEWOOD, OK 73098(405) 665-4385(405) 665-6396 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2021, Aug 22, 2020 (2 updates tracked since 2020).

On this page

About The Jetty Counseling Center NPPES

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

THE JETTY COUNSELING CENTER (NPI 1982748067) is a healthcare organization registered as a community/behavioral health in Wynnewood, Oklahoma and active in the NPI registry since February 2007. The organization lists Teresa Gale Rue-wallace, Owner/ Ceo/president/exec. Director, as its authorized official.

NPPES Registry Identity

NPI1982748067

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameJIM WALLACE AND ASSOCIATES INCORPORATED

Location Address202 S WASHITA AVEWynnewood, OK 73098-7820

Mailing Address202 S Washita AveWynnewood, OK 73098-7820 · (405) 665-4385 · Fax (405) 665-6396

Phone(405) 665-4385

Fax(405) 665-6396

Organization SubpartNo

Authorized OfficialTeresa Gale Rue-wallaceOwner/ Ceo/president/exec. Director · (405) 306-8511

Enumeration DateFebruary 20, 2007

Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2021

✔ NPI 1982748067 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.

202 S WASHITA AVE, Wynnewood, OK 73098

Open in Google Maps ↗

Other Names 1

Doing Business AsThe Jetty Counseling Center

Other Identifiers 1

Medicaid100749080AOK

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.

MICHELLE RUE M.S.

Marriage & Family Therapist