Melissa Pitts Johnson, MS | |
2021 Mahaney Ave Ste 4, Tahlequah, OK 74464-5795 | |
(918) 901-9300 | |
Not Available |
Full Name | Melissa Pitts Johnson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2021 Mahaney Ave Ste 4, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710376421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4795 (Oklahoma) | Primary |
Entity Name | Consulting And Counseling For Community Change, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922483627 PECOS PAC ID: 1456897123 Enrollment ID: O20240718003094 |
Mailing Address | Practice Location Address |
---|---|
Melissa Pitts Johnson, MS 2021 Mahaney Ave Ste 4, Tahlequah, OK 74464-5795 Ph: (918) 901-9300 | Melissa Pitts Johnson, MS 2021 Mahaney Ave Ste 4, Tahlequah, OK 74464-5795 Ph: (918) 901-9300 |
Alicia Franke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1606 E Downing St, Tahlequah, OK 74464 Phone: 918-775-7787 | |
Mr. Chad Alvin Harp, MS ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Talley St, Tahlequah, OK 74464 Phone: 918-728-1685 | |
Matthew Dennis Wenske, LPC-CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1640 W Keetoowah St, Tahlequah, OK 74464 Phone: 918-708-9009 Fax: 918-708-1714 | |
Sara Howell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-0078 | |
Terrah Lynn Manes, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 711 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-0078 Fax: 918-207-0558 | |
Ms. Rhonda Carey, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 W Shawnee St, Tahlequah, OK 74464 Phone: 918-207-7523 | |
Corey A Thornton, MSW Counselor Medicare: Medicare Enrolled Practice Location: 711 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-0078 |