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

Montana Perry

Individual provider Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1154000925

Montana Perry is a Mental Health Clinic/Center (Including Community Mental Health Center) in Wagoner, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

109 S Harrill Ave
Wagoner, OK 74467-5317
Phone: (918) 485-0204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 1154000925 (OK)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1154000925
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 17, 2023
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023
Mailing address109 S Harrill Ave, Wagoner, OK 74467-5317

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