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

Providence Service Corporation of Oklahoma

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1033279443

Providence Service Corporation of Oklahoma is a Mental Health Clinic/Center (Including Community Mental Health Center) in Lawton, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4645 W Gore Blvd Ste 5
Lawton, OK 73505-5962
Phone: (580) 355-6800
Fax: (580) 355-0666
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 number1033279443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Breeann Hoerning — Ar And Billing Manager · (520) 747-6600
Other names Providence Of Oklahoma
NPI enumeratedDecember 8, 2006
Last updated in NPPESAugust 22, 2020
Mailing address620 N Craycroft Rd, Tucson, AZ 85711-1448

Other providers in Lawton