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Search › Oklahoma › 171M00000X

Ivy Wade

NPI 1972212561 · on the registry since 2022 · sole proprietor

Practice

Address
2530 S Commerce St Bldg B
Ardmore, OK 73401
Phone
(802) 265-0485
Fax
(580) 226-3569
Organisation at this address
Lighthouse Behavioral Wellness Centers
Lighthouse Behavioral Wellness Centers
Lighthouse Behavioral Wellness Centers
Mental Health Services Of Southern Oklahoma
Mental Health Services Of Southern Oklahoma
Inferred from a shared address, not stated in the registry.
Clinicians at this address
106

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YM0800X
Sex
Female
Record last updated
2023-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma