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 1407228752

Grand Lake Mental Health Center, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Tahlequah, 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

1323 W Keetoowah St
Tahlequah, OK 74464-3462
Phone: (918) 708-3006
Fax: (918) 777-9016
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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 number1407228752
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Danley — Ceo · (918) 273-1841
NPI enumeratedOctober 27, 2015
Last updated in NPPESJanuary 16, 2018
Mailing address114 W Delaware Ave, Nowata, OK 74048-2601

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