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

Grand Lake Mental Health Center, Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1306394788

Grand Lake Mental Health Center, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Ponca City, Oklahoma. Registered with an NPI since 2016.

In the registry since
2016
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

110 N 4th St
Ponca City, OK 74601-4527
Phone: (918) 273-1841
Fax: (918) 273-1843
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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 number1306394788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Smith — Ceo · (918) 273-1841
Other names Grand Lake Medical Health Center
NPI enumeratedSeptember 14, 2016
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020
Mailing address114 W Delaware Ave, Nowata, OK 74048-2601

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