Elizabeth Lanell Warren, | |
1322 W Main St, Antlers, OK 74523-2016 | |
(580) 298-5062 | |
(580) 298-9958 |
Full Name | Elizabeth Lanell Warren |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1322 W Main St, Antlers, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063850170 | NPI | - | NPPES |
200111200A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Choctaw Nation Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Lanell Warren, 1322 W Main St, Antlers, OK 74523-2016 Ph: (580) 298-5062 | Elizabeth Lanell Warren, 1322 W Main St, Antlers, OK 74523-2016 Ph: (580) 298-5062 |
Kimberly R Couch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 903 W Main St, Antlers, OK 74523 Phone: 580-298-3001 | |
Sierra Hurley Allen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1322 W Main St, Antlers, OK 74523 Phone: 580-298-5062 | |
Mrs. Stacey Colette Franks, MBS,LBP Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 N High St, Antlers, OK 74523 Phone: 580-298-5779 Fax: 580-298-6699 | |
Ms. Sandy Keesee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 N High St, Antlers, OK 74523 Phone: 580-298-3001 Fax: 580-298-5357 | |
Ms. Kathy L Pendergraft, Counselor Medicare: Medicare Enrolled Practice Location: 112 N High St, Antlers, OK 74523 Phone: 580-298-3001 Fax: 580-298-5357 | |
Jordan Hayes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1322 W Main St, Antlers, OK 74523 Phone: 580-298-5062 Fax: 580-298-9958 |