Kala Perez, MS MED | |
304 N Broadway, Coweta, OK 74429-2604 | |
(918) 630-3552 | |
Not Available |
Full Name | Kala Perez |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 304 N Broadway, Coweta, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699118158 | NPI | - | NPPES |
100746170G | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Just Breathe Counseling And Assessments |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437893773 PECOS PAC ID: 3971953902 Enrollment ID: O20240103000865 |
Mailing Address | Practice Location Address |
---|---|
Kala Perez, MS MED 6777 E 11th St, Tulsa, OK 74112-4619 Ph: (918) 273-2843 | Kala Perez, MS MED 304 N Broadway, Coweta, OK 74429-2604 Ph: (918) 630-3552 |
Christina Renee Spinler, M.S. LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 N Broadway, Coweta, OK 74429 Phone: 469-728-4257 | |
Tonya L Kimble, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 E Chestnut St, Coweta, OK 74429 Phone: 918-279-6565 | |
Carl Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 E Chestnut St, Coweta, OK 74429 Phone: 918-279-6565 | |
Tanya N Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 E Chestnut St, Coweta, OK 74429 Phone: 918-279-6565 Fax: 918-279-6551 | |
Jessica A Haworth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 N Bristow Ave, Coweta, OK 74429 Phone: 918-289-6516 | |
Mrs. Lisa C Davis, AS Counselor Medicare: Not Enrolled in Medicare Practice Location: 13600 S 285th East Ave, Coweta, OK 74429 Phone: 918-630-3161 | |
Trenton Hill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 S Bristow Ave, Coweta, OK 74429 Phone: 918-805-0048 |