Ashlee Hale, | |
2425 W University Blvd Ste 102, Durant, OK 74701-2970 | |
(580) 924-7330 | |
(580) 924-7334 |
Full Name | Ashlee Hale |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 2425 W University Blvd Ste 102, Durant, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891205035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (Oklahoma) | Primary |
Entity Name | Lighthouse Behavioral Wellness Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518997097 PECOS PAC ID: 6406748961 Enrollment ID: O20040329000653 |
Mailing Address | Practice Location Address |
---|---|
Ashlee Hale, 2425 W University Blvd Ste 102, Durant, OK 74701-2970 Ph: (580) 924-7330 | Ashlee Hale, 2425 W University Blvd Ste 102, Durant, OK 74701-2970 Ph: (580) 924-7330 |
Melissa Holaday, LBP Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 N 1st Ave, Durant, OK 74701 Phone: 580-931-3008 Fax: 580-931-8022 | |
Mr. Preston John Hudson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909 | |
Natasha Tom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 N 3rd Ave, Durant, OK 74701 Phone: 580-931-3008 Fax: 580-931-8022 | |
David Wells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 West Main St, Durant, OK 74701 Phone: 580-924-7330 | |
Daniel Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 134 N 12th Ave, Durant, OK 74701 Phone: 580-924-6363 | |
Mrs. Christine Lynn Cragar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909 | |
Kristi Lynn Burkhalter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909 |