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

Jim Wallace and Associates Inc

Organization Community/Behavioral Health Agency · NPI 1194860247

Jim Wallace and Associates Inc is a Community/Behavioral Health Agency in Ardmore, Oklahoma. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

301 W Main St Ste 618
Ardmore, OK 73401-6337
Phone: (580) 224-2830
Fax: (405) 665-6396
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 number1194860247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Rue-Wallace — Owner/Ceo/President/Exec. Director · (405) 306-8511
Other names The Jetty Counseling Center; The Jetty Counseling Center
NPI enumeratedFebruary 20, 2007
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address202 S Washita Ave, Wynnewood, OK 73098-7820

Other providers in Ardmore