Deshawn R Brewer, | |
115 E Main St, Davis, OK 73030-1901 | |
(580) 319-7694 | |
Not Available |
Full Name | Deshawn R Brewer |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 115 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 |
---|---|---|---|
1386914885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Our House Mhsa Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790144160 PECOS PAC ID: 8628428455 Enrollment ID: O20240513003509 |
Mailing Address | Practice Location Address |
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Deshawn R Brewer, Po Box 751, Lawton, OK 73502-0751 Ph: () - | Deshawn R Brewer, 115 E Main St, Davis, OK 73030-1901 Ph: (580) 319-7694 |
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 | |
Alisha N White, BHRS Counselor Medicare: Medicare Enrolled Practice Location: 121 E Main St, Suite 101, Davis, OK 73030 Phone: 580-369-5080 Fax: 580-369-2488 | |
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 |