Mr Justin Robert Doty, MED, LPC | |
2665 Four Lakes Dr, Blanchard, OK 73010-8922 | |
(405) 323-0548 | |
Not Available |
Full Name | Mr Justin Robert Doty |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 2665 Four Lakes Dr, Blanchard, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245562529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4321 (Oklahoma) | Primary |
Entity Name | Oklahoma Mental Health Collective |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033790142 PECOS PAC ID: 9133562309 Enrollment ID: O20240205004419 |
Mailing Address | Practice Location Address |
---|---|
Mr Justin Robert Doty, MED, LPC 2665 Four Lakes Dr, Blanchard, OK 73010-8922 Ph: (405) 323-0548 | Mr Justin Robert Doty, MED, LPC 2665 Four Lakes Dr, Blanchard, OK 73010-8922 Ph: (405) 323-0548 |
Stephanie R Nesmith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27811 Portland Ave, Blanchard, OK 73010 Phone: 580-229-6274 Fax: 405-632-1976 | |
Kimberly Puckett-samsel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 327 Point Pleasant Ct, Blanchard, OK 73010 Phone: 405-651-9751 | |
Mr. Eddie Danny Flores, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1116 Kristen Ln, Blanchard, OK 73010 Phone: 405-392-5693 | |
Mrs. Susan Diane Branam, LADC, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2320 County Road 1254, Blanchard, OK 73010 Phone: 918-302-7080 Fax: 405-392-2936 | |
Jennifer Lynne Morris, MASTERS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1451 County Street 2960, Blanchard, OK 73010 Phone: 405-550-9239 | |
Maria L Plata, M.ED, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 Pelican Way, Blanchard, OK 73010 Phone: 405-326-9303 |