Mr Billie M Wallis, LPC-S | |
804 W Choctaw Ave, Chickasha, OK 73018-2310 | |
(405) 222-0622 | |
Not Available |
Full Name | Mr Billie M Wallis |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 804 W Choctaw Ave, Chickasha, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568705739 | NPI | - | NPPES |
101YP2500X | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 5859 (Oklahoma) | Primary |
Entity Name | Oklahoma Mental Health Council |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275574907 PECOS PAC ID: 3173514387 Enrollment ID: O20040518001034 |
Mailing Address | Practice Location Address |
---|---|
Mr Billie M Wallis, LPC-S 4205 Nugget Ln, Tuttle, OK 73089-9213 Ph: (405) 381-9140 | Mr Billie M Wallis, LPC-S 804 W Choctaw Ave, Chickasha, OK 73018-2310 Ph: (405) 222-0622 |
Mr. Kelly S. Wray, LADC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 W Choctaw Ave, Chickasha, OK 73018 Phone: 405-424-7711 | |
Dennis Lee Murphy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 W Choctaw Ave, Chickasha, OK 73018 Phone: 405-222-0622 Fax: 405-224-9532 | |
Stephanie A Belle, Counselor Medicare: Medicare Enrolled Practice Location: 198 E Almar Dr, Chickasha, OK 73018 Phone: 405-222-5437 Fax: 405-222-5441 | |
Rachel R Nightingale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 S 7th St, Chickasha, OK 73018 Phone: 405-222-4786 | |
Robyn M Williams, M.S., LPC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 S 4th St, Chickasha, OK 73018 Phone: 405-763-7117 Fax: 405-448-5050 | |
Mrs. Deasha K Hire, Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 W Choctaw Ave, Chickasha, OK 73018 Phone: 405-425-0372 | |
Bethanie Chaney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 W Choctaw Ave, Chickasha, OK 73018 Phone: 405-222-0622 |