Mitchell Louis Lyon, LPC | |
231 S 30th St, Enid, OK 73701-6455 | |
(580) 215-7555 | |
Not Available |
Full Name | Mitchell Louis Lyon |
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Gender | Male |
Speciality | Counselor |
Location | 231 S 30th St, Enid, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750618583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 4143 (Oklahoma) | Primary |
101YP2500X | Counselor - Professional | 4143 (Oklahoma) | Secondary |
Entity Name | Great Salt Plains Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881876738 PECOS PAC ID: 9133201171 Enrollment ID: O20080811000366 |
Mailing Address | Practice Location Address |
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Mitchell Louis Lyon, LPC 231 S 30th St, Enid, OK 73701-6455 Ph: (580) 215-7555 | Mitchell Louis Lyon, LPC 231 S 30th St, Enid, OK 73701-6455 Ph: (580) 215-7555 |
James Stilley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 N Grand St, Enid, OK 73701 Phone: 580-234-3791 Fax: 580-237-7711 | |
Brady Dixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 N Grand St, Enid, OK 73701 Phone: 580-234-3791 Fax: 580-237-7711 | |
Amy Brooke Jernigan, L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 W Oxford Ave, Enid, OK 73701 Phone: 580-233-7220 Fax: 580-237-7550 | |
Mr. Mark Alan Blanchard, BS, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1625 W Owen K Garriott Rd, Ste F, Enid, OK 73703 Phone: 580-242-4673 Fax: 580-242-4679 | |
Ramona Vernita Nazario, Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Bryan Dr, Enid, OK 73701 Phone: 580-234-2501 Fax: 580-213-3133 | |
Alexsandra D Stevens, LPC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 W Maple Ave, Enid, OK 73701 Phone: 580-242-5544 | |
Mrs. Linda Peck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 W Maple Ave, Enid, OK 73701 Phone: 580-242-5544 Fax: 580-233-8905 |