David W Peace, BS | |
1104 W Delaware Ave, Vinita, OK 74301-3922 | |
(918) 323-0777 | |
Not Available |
Full Name | David W Peace |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1104 W Delaware Ave, Vinita, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679795124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 4915 (Oklahoma) | Primary |
Entity Name | Community Pathways Unlimited Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659328284 PECOS PAC ID: 6608776349 Enrollment ID: O20040109001005 |
Mailing Address | Practice Location Address |
---|---|
David W Peace, BS 1104 W Delaware Ave, Vinita, OK 74301-3922 Ph: (918) 323-0777 | David W Peace, BS 1104 W Delaware Ave, Vinita, OK 74301-3922 Ph: (918) 323-0777 |
Chrystal Brassfield, MS Counselor Medicare: Medicare Enrolled Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Anthony Goodell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Melanie K Phillips, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 East Excelsior, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Dorsey Ramsey, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 East Excelsior, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Betty F Showler, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22253 S 4370 Rd, Vinita, OK 74301 Phone: 918-244-6416 | |
Jonathan Brodrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Mrs. Shalaina Dunn, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 844-458-2100 Fax: 918-256-9890 |