Provider Demographics
NPI:1174843080
Name:OKLAHOMA MENTAL HEALTH CONSUMER COUNCIL, INC.
Entity type:Organization
Organization Name:OKLAHOMA MENTAL HEALTH CONSUMER COUNCIL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:K
Authorized Official - Last Name:TALLENT
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:405-604-6975
Mailing Address - Street 1:3200 NW 48TH STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5911
Mailing Address - Country:US
Mailing Address - Phone:405-604-6975
Mailing Address - Fax:405-605-8175
Practice Address - Street 1:3200 NW 48TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-5900
Practice Address - Country:US
Practice Address - Phone:405-604-6975
Practice Address - Fax:405-605-8175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable