Grand Lake Mental Health Center, Inc.
NPI 1073889036 · Community/Behavioral Health Agency · Tulsa, OK
Grand Lake Mental Health Center, Inc. is a Community/Behavioral Health Agency organization in Tulsa, OK (NPI 1073889036).
Provider details
- NPI number
- 1073889036
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Larry Smith, Ceo(918) 273-1841
- License
- 234500000X (OK)
Specialties & taxonomies
Agencies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- 12 & 12, Inc
- Former legal business name
- 12 & 12, Inc
- Doing business as
- Grand Mental Health
Additional practice locations (1)
- 1214 S Baltimore AveTulsa, OK 74119-2804Phone: (918) 664-4224Fax: (918) 663-0203
Registry dates
- Enumerated
- 2012-03-23
- Last updated
- 2022-06-07
- Certified
- 2022-06-07
Frequently asked questions
- What is Grand Lake Mental Health Center, Inc.'s NPI number?
- Grand Lake Mental Health Center, Inc.'s National Provider Identifier (NPI) is 1073889036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Lake Mental Health Center, Inc.?
- Grand Lake Mental Health Center, Inc. is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Grand Lake Mental Health Center, Inc. located?
- Grand Lake Mental Health Center, Inc.'s practice location on file with NPPES is 6333 E Skelly Dr, Tulsa, OK 74135-6106.
- What is Grand Lake Mental Health Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Grand Lake Mental Health Center, Inc. is (918) 664-4224.
- Who is the authorized official for Grand Lake Mental Health Center, Inc.?
- The authorized official listed on Grand Lake Mental Health Center, Inc.'s NPPES record is Larry Smith, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Lake Mental Health Center, Inc.'s NPI active?
- Yes — Grand Lake Mental Health Center, Inc.'s NPI (1073889036) is active in the NPPES registry as of the last update on 2022-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.