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

Grand Lake Mental Health Center, Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1255704250

Grand Lake Mental Health Center, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Wagoner, Oklahoma. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2109 S Highway 69
Wagoner, OK 74467-9310
Phone: (918) 273-1841
Fax: (918) 273-1843
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1255704250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Danley — Ceo · (918) 273-1841
NPI enumeratedNovember 12, 2015
Last updated in NPPESNovember 12, 2015
Mailing address114 W Delaware Ave, Nowata, OK 74048-2601

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