Carol Wilson, MED, LPC-S | |
532 I St Ne, Miami, OK 74354-4931 | |
(918) 541-6210 | |
(918) 542-6330 |
Full Name | Carol Wilson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 532 I St Ne, Miami, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801166772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 5657 (Oklahoma) | Primary |
Entity Name | Alliance Mental Health - Colorado Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770247702 PECOS PAC ID: 6507211075 Enrollment ID: O20231018003274 |
Mailing Address | Practice Location Address |
---|---|
Carol Wilson, MED, LPC-S 532 I St Ne, Miami, OK 74354-4931 Ph: (918) 541-6210 | Carol Wilson, MED, LPC-S 532 I St Ne, Miami, OK 74354-4931 Ph: (918) 541-6210 |
Mrs. Katherine Renee Burke, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 S. Treaty Rd., Miami, OK 74354 Phone: 918-540-1511 Fax: 918-542-7374 | |
Phillip Horn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Treaty Rd, Miami, OK 74354 Phone: 918-540-1511 Fax: 918-542-7374 | |
Racheal Fisher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W Steve Owens Blvd, Miami, OK 74354 Phone: 918-542-2845 | |
Isabella Gail Burrell, LPC, NCGC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1519 E Steve Owens Boulevard, Miami, OK 74354 Phone: 918-576-3050 | |
John Klenke, LPC-C Counselor Medicare: Medicare Enrolled Practice Location: 111 S Treaty Rd, Miami, OK 74354 Phone: 918-592-8614 | |
Jennifer Shobe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Treaty Rd, Miami, OK 74354 Phone: 918-540-1511 Fax: 918-542-7374 | |
Eric Goodpaster, TEACHING CERTIFICATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W Steve Owens Blvd, Miami, OK 74354 Phone: 918-542-2845 |