Provider Demographics
NPI:1407464803
Name:DHP CENTERS OK LLC
Entity Type:Organization
Organization Name:DHP CENTERS OK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:C
Authorized Official - Last Name:PRESTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-725-4700
Mailing Address - Street 1:505 W VANDAMENT AVE STE B
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-4663
Mailing Address - Country:US
Mailing Address - Phone:405-256-3470
Mailing Address - Fax:870-677-3182
Practice Address - Street 1:505 W VANDAMENT AVE STE B
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-4663
Practice Address - Country:US
Practice Address - Phone:405-256-3470
Practice Address - Fax:870-677-3182
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRDHPCCC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-21
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty