YCO TULSA NPI 1194199968

NPI Information

  • NPI: 1194199968
  • Provider Name: YCO TULSA
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: YOUTHCARE OF OKLAHOMA - TULSA
  • Address: 1809 COMMOMS CIRCLE, SUITE B
    YUKON, OK
    ZIP 73099
  • Phone: (866) 926-6552

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NPI Details

YCO TULSA is a mental health (including community mental health center) clinic center in Yukon, OK. YCO TULSA NPI is 1194199968. The provider is registered as an organization entity type.
The provider Is Doing Business As Youthcare Of Oklahoma - Tulsa.

The provider's business location address is:

1809 COMMOMS CIRCLE, SUITE B
YUKON, OK
ZIP 73099-787
Phone: (866) 926-6552
Fax: (918) 289-0550

The provider's authorized official is Robert Lobato .
The authorized official title is Ceo and has the following contact phone number (918) 289-0550.

The enumeration date for this NPI number is 11/17/2015 and was last updated on 5/2/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200333190MEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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