Emory Mitchell, | |
7600 S Highway 69a, Miami, OK 74354-1016 | |
(918) 332-4390 | |
(918) 332-4424 |
Full Name | Emory Mitchell |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 7600 S Highway 69a, 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 |
---|---|---|---|
1093016461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Northeastern Tribal Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871522532 PECOS PAC ID: 7911893854 Enrollment ID: O20040226000389 |
Mailing Address | Practice Location Address |
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Emory Mitchell, 7600 S Highway 69a, P.o. Box 1498, Miami, OK 74354-1016 Ph: (918) 332-4390 | Emory Mitchell, 7600 S Highway 69a, Miami, OK 74354-1016 Ph: (918) 332-4390 |
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 |