IndividualActive
Amanda Fireshaker
NPI 1033809124 · Mental Health Clinic/Center (Including Community Mental Health Center) · Atoka, OK
Provider details
- NPI number
- 1033809124
- Entity type
- Individual
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1697 S Greathouse Dr
Atoka, OK 74525-3407
Phone: (580) 889-5555
Approximate (ZIP-level) locationGet directions
Mailing address
1697 S Greathouse Dr
Atoka, OK 74525-3407
Additional practice locations (2)
- 324 N Washington AveDurant, OK 74701-3642Phone: (580) 931-3008
- 717 Highway 70 E Ste BKingston, OK 73439-8253Phone: (580) 795-3794
Registry dates
- Enumerated
- 2023-05-11
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.