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 1689165631

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 2018.

In the registry since
2018
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

26243 Highway 51
Wagoner, OK 74467-8740
Phone: (918) 708-3006
Fax: (918) 999-0109
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 number1689165631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Danley — Ceo · (918) 273-1841
NPI enumeratedMay 25, 2018
Last updated in NPPESMay 25, 2018
Mailing address114 W Delaware Ave, Nowata, OK 74048-2601

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