| Kelly Divine, | |
|
511 E 2nd St, Heavener, OK 74937-3419 | |
| (918) 653-7718 | |
| Not Available |
| Full Name | Kelly Divine |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 511 E 2nd St, Heavener, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740725381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Divine, Po Box 846, Heavener, OK 74937-0846 Ph: () - | Kelly Divine, 511 E 2nd St, Heavener, OK 74937-3419 Ph: (918) 653-7718 |
Hannah Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 E 2nd St, Heavener, OK 74937 Phone: 918-653-7718 | |
Ricky Lee Huggins, LADC Counselor Medicare: Medicare Enrolled Practice Location: 46100 Lovings Ln, Heavener, OK 74937 Phone: 479-650-9691 | |
Mrs. Christie Lean Horstman, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 E 2nd St, Heavener, OK 74937 Phone: 918-653-7450 Fax: 918-653-7279 | |
Marilyn Presley, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 W Avenue D, Heavener, OK 74937 Phone: 918-839-2377 | |
Mrs. Connie M Ray, LPC CANDIDATE Counselor Medicare: Medicare Enrolled Practice Location: 123 E Avenue C Ste B, Heavener, OK 74937 Phone: 918-658-4016 Fax: 866-318-8057 | |
Kristina Anne Mccoy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 E 2nd St, Heavener, OK 74937 Phone: 918-653-7718 | |
Brian Barnes, Counselor Medicare: Medicare Enrolled Practice Location: 123 E Avenue C, Heavener, OK 74937 Phone: 918-658-4016 |