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 Community/Behavioral Health Agency · NPI 1356981138

Grand Lake Mental Health Center Inc is a Community/Behavioral Health Agency in Ponca City, Oklahoma. Registered with an NPI since 2020.

In the registry since
2020
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

407 W South Ave
Ponca City, OK 74601-6133
Phone: (580) 749-5056
Fax: (580) 215-5756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1356981138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Smith — Ceo · (918) 273-1841
Other names Grand Mental Health
NPI enumeratedJanuary 9, 2020
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022
Mailing address114 W Delaware Ave, Nowata, OK 74048-2601

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