Provider Demographics
NPI:1568276111
Name:SCHROYER, DAVID (LADC-MH, STATE OF OK)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SCHROYER
Suffix:
Gender:M
Credentials:LADC-MH, STATE OF OK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 HUNTERS POINTE RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-3513
Mailing Address - Country:US
Mailing Address - Phone:480-560-2153
Mailing Address - Fax:
Practice Address - Street 1:4101 N CLASSEN BLVD STE D
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-2413
Practice Address - Country:US
Practice Address - Phone:405-261-3223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1489101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)