Provider Demographics
NPI:1477798254
Name:LIFELINE MENTAL HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:LIFELINE MENTAL HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:A
Authorized Official - Last Name:GARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-740-3233
Mailing Address - Street 1:PO BOX 196
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:OK
Mailing Address - Zip Code:73007-0196
Mailing Address - Country:US
Mailing Address - Phone:405-740-3233
Mailing Address - Fax:405-396-2864
Practice Address - Street 1:700 W 15TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-3749
Practice Address - Country:US
Practice Address - Phone:405-740-3233
Practice Address - Fax:405-396-2864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health