Garth Coulson, | |
448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | |
(888) 573-7792 | |
Not Available |
Full Name | Garth Coulson |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 448 36th Ave Nw Ste 101, Norman, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942516661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
251B00000X | Case Management | (* (Not Available)) | Secondary |
Entity Name | Millennium Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245286285 PECOS PAC ID: 6204730856 Enrollment ID: O20040105000859 |
Mailing Address | Practice Location Address |
---|---|
Garth Coulson, 1616 Turtle Lake Rd, Moore, OK 73160-6142 Ph: (405) 476-1623 | Garth Coulson, 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 Ph: (888) 573-7792 |
Dr. Marshall Andrew Glenn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3613 Gullane Dr, Norman, OK 73072 Phone: 405-249-4130 | |
Mrs. Chyla T Hall, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 24th Ave Nw Ste E, Norman, OK 73069 Phone: 405-329-3349 Fax: 405-329-6617 | |
Renee Thornton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 24th Ave Nw, Ste E, Norman, OK 73069 Phone: 405-329-8167 | |
Donita K Goodin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6100 E Tecumseh Rd, Norman, OK 73026 Phone: 405-464-9536 Fax: 405-321-3448 | |
Ms. Kimberlee Dawn Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2416 W Brooks St Apt 1, Norman, OK 73069 Phone: 405-982-8056 | |
Ashley Sellers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Ferrill St, Norman, OK 73071 Phone: 580-583-3234 | |
Loretta Gail Post, CPRSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St, Norman, OK 73071 Phone: 405-307-4836 |