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 Community/Behavioral Health Agency · NPI 1487366746

Grand Lake Mental Health Center, Inc is a Community/Behavioral Health Agency in Jay, Oklahoma. Registered with an NPI since 2022.

In the registry since
2022
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

1015 W Washbourne St
Jay, OK 74346-4205
Phone: (918) 308-5513
Fax: (918) 253-6645
Show map & directions

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 number1487366746
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Smith — Ceo · (918) 273-1841
Other names Grand Mental Health
NPI enumeratedDecember 19, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address114 W Delaware Ave, Nowata, OK 74048-2601

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