Laura Kay Wise, LPC | |
717 B Hwy E, Kingston, OK 73439 | |
(580) 564-7308 | |
Not Available |
Full Name | Laura Kay Wise |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 717 B Hwy E, Kingston, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932577277 | NPI | - | NPPES |
Entity Name | Lighthouse Behavioral Wellness Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518997097 PECOS PAC ID: 6406748961 Enrollment ID: O20040329000653 |
Entity Name | Deer Oaks Mental Health Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20130413000082 |
Mailing Address | Practice Location Address |
---|---|
Laura Kay Wise, LPC 1036 Ridgeview Drive Apt 2d, Madill, OK 73446 Ph: (580) 263-8882 | Laura Kay Wise, LPC 717 B Hwy E, Kingston, OK 73439 Ph: (580) 564-7308 |
Ryan Austin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717b Highway 70 E, Kingston, OK 73439 Phone: 580-564-7308 | |
Jason Dee Baker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717b Highway 70 E, Kingston, OK 73439 Phone: 580-565-2415 | |
Natalie L Foster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Highway 70 N, Kingston, OK 73439 Phone: 580-504-0104 | |
Lindsey Paige Joines, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 Highway 70 E Ste B, Kingston, OK 73439 Phone: 580-795-3794 | |
Elizabeth Caruso, B.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 717b Highway 70 E, Kingston, OK 73439 Phone: 508-564-7308 Fax: 580-564-7309 | |
Marie Morrison Bramlett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Ne 3rd St, Kingston, OK 73439 Phone: 580-564-2996 | |
Samantha Darlene Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4334 Back St, Kingston, OK 73439 Phone: 580-565-0371 |