IndividualActive
Anthony Goodell
NPI 1063863090 · Case Manager/Care Coordinator · Vinita, OK
Provider details
- NPI number
- 1063863090
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
405 E Excelsior Ave
Vinita, OK 74301-4226
Phone: (918) 256-6476
Fax: (918) 256-3628
Approximate (ZIP-level) locationGet directions
Mailing address
405 E Excelsior Ave
Vinita, OK 74301-4226
Registry dates
- Enumerated
- 2016-06-30
- Last updated
- 2022-09-19
- Certified
- 2022-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.