Christina M Powell, | |
512 E 24th St, Tishomingo, OK 73460-3214 | |
(580) 371-3672 | |
(580) 371-3651 |
Full Name | Christina M Powell |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 512 E 24th St, Tishomingo, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073996815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Oklahoma) | Primary |
Entity Name | Nsight For Life Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164941035 PECOS PAC ID: 7719339134 Enrollment ID: O20240122000247 |
Mailing Address | Practice Location Address |
---|---|
Christina M Powell, 1860 Sand Point Rd, Mead, OK 73449-6688 Ph: (580) 380-9918 | Christina M Powell, 512 E 24th St, Tishomingo, OK 73460-3214 Ph: (580) 371-3672 |
Craig Kendall Edmondson, BS ED BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 E Main St, Tishomingo, OK 73460 Phone: 580-371-3776 | |
Brianna Megan Thompson, MA, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 817 E 6th St, Tishomingo, OK 73460 Phone: 580-495-8613 | |
Mrs. Jim Ann Reynolds, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 E 24th St, Tishomingo, OK 73460 Phone: 580-371-9933 Fax: 580-371-9944 | |
Mrs. Amanda Kay Blue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1531 West Main, Tishomingo, OK 73460 Phone: 580-371-8719 | |
Mrs. Jayne Hull, Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 W Main St, Tishomingo, OK 73460 Phone: 580-371-3799 | |
Will Haywood, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 E 24th St, Tishomingo, OK 73460 Phone: 580-371-3672 Fax: 580-371-3651 | |
Ms. Kelly Lynn Palmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 E 24th St, Tishomingo, OK 73460 Phone: 903-815-0843 Fax: 580-371-9944 |