Lisa Meredith, MBS, LPC, LADC | |
1303 Lynn Ln, Idabel, OK 74745-6845 | |
(580) 286-7025 | |
(580) 286-7436 |
Full Name | Lisa Meredith |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1303 Lynn Ln, Idabel, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790999894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Choctaw Nation Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
---|---|
Lisa Meredith, MBS, LPC, LADC 1303 Lynn Ln, Idabel, OK 74745-6845 Ph: (580) 286-7025 | Lisa Meredith, MBS, LPC, LADC 1303 Lynn Ln, Idabel, OK 74745-6845 Ph: (580) 286-7025 |
Tina Simer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 S Central Ave, Idabel, OK 74745 Phone: 580-286-5184 Fax: 580-286-5185 | |
Catherine White, M.ED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 S Central Ave, Idabel, OK 74745 Phone: 580-212-9193 Fax: 580-286-3478 | |
Kristy Woolsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Se Washington St, Idabel, OK 74745 Phone: 580-286-6671 | |
Barbara Sharon Lumsden, LPC, LADC, MBS Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 S Central Ave, Idabel, OK 74745 Phone: 580-286-5045 | |
George Donald Haslam Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 S Central Ave, Idabel, OK 74745 Phone: 580-286-5045 | |
Corey Griffin, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Se Ave N, Idabel, OK 74745 Phone: 580-286-6671 Fax: 580-286-5747 | |
Brandy T Hickerson, MED, PSYCHOLOGIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 S Central Ave, Idabel, OK 74745 Phone: 580-286-5184 Fax: 580-286-5185 |