Stillwater Domestic Violence Services, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Stillwater, OK. Organization (NPI-2).
Details
- NPI
- 1548080286
- Entity type
- Organization (NPI-2)
- Legal business name
- Stillwater Domestic Violence Services, INC.
- Organization subpart
- No
- Enumeration date
- Oct 16, 2024
- Certification date
- Oct 21, 2024
- Last updated
- Oct 21, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
3800 N Washington StStillwater, OK 74075-1439
Phone 405-372-9922
Mailing address
3800 N Washington StStillwater, OK 74075-1439
Phone 405-372-9922
Authorized official
Brandi White
Executive Director
4053729922
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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