Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Lake Mental Health

Organization Peer Specialist · NPI 1275171274

Grand Lake Mental Health is a Peer Specialist in Miami, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

111 S Treaty Rd
Miami, OK 74354-5327
Phone: (918) 418-3062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1275171274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexis Austin — Rss · (918) 791-5453
NPI enumeratedDecember 20, 2019
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020
Mailing address111 S Treaty Rd, Miami, OK 74354-5327

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