Alisha N White, BHRS | |
121 E Main St, Suite 101, Davis, OK 73030-1973 | |
(580) 369-5080 | |
(580) 369-2488 |
Full Name | Alisha N White |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 121 E Main St, Davis, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447524566 | NPI | - | NPPES |
200049040Z | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Millennium Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245286285 PECOS PAC ID: 6204730856 Enrollment ID: O20040105000859 |
Mailing Address | Practice Location Address |
---|---|
Alisha N White, BHRS Po Box 91, Sulphur, OK 73086-0091 Ph: (580) 618-2911 | Alisha N White, BHRS 121 E Main St, Suite 101, Davis, OK 73030-1973 Ph: (580) 369-5080 |
Casey L Northcutt, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 E Main St, Suite 101, Davis, OK 73030 Phone: 580-369-5080 Fax: 580-369-2488 | |
Christina M Lawhon, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 E Main St, Suite 101, Davis, OK 73030 Phone: 580-369-5080 Fax: 580-369-2488 | |
Deshawn R Brewer, Counselor Medicare: Medicare Enrolled Practice Location: 115 E Main St, Davis, OK 73030 Phone: 580-319-7694 | |
Valorie Stout, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 E Main St Ste 101, Davis, OK 73030 Phone: 580-369-5080 Fax: 580-369-2488 | |
Latawyna Matthews, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 E Main St, Suite 101, Davis, OK 73030 Phone: 580-369-5850 |