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

Prodigy Foundation

Organization Addiction (Substance Use Disorder) Counselor · NPI 1386665743

Prodigy Foundation is an Addiction (Substance Use Disorder) Counselor in Tahlequah, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4

Practice location Address checks out

1024 S Muskogee Ave
Tahlequah, OK 74464-4734
Phone: (918) 456-8399
Fax: (918) 456-8773
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1386665743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Roberts — Director · (918) 456-8399
NPI enumeratedJuly 21, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 1247, Tahlequah, OK 74465-1247

Other providers in Tahlequah