Mr Manote Prommart, - Counselor in Broken Arrow, OK

Mr Manote Prommart, is a Counselor - Mental Health based in Broken Arrow, Oklahoma. Mr Manote Prommart is licensed to practice in * (Not Available) (license number ) and his current practice location is 1101 S 33rd St, Broken Arrow, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (918) 497-8806.

NPI number for Mr Manote Prommart is 1619208063 and his current mailing address is 1101 S 33rd St, Broken Arrow, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619208063.

Contact Information

Mr Manote Prommart,
1101 S 33rd St,
Broken Arrow, OK 74014-2929
(918) 497-8806
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Manote Prommart
GenderMale
SpecialityCounselor - Mental Health
Location1101 S 33rd St, Broken Arrow, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619208063
  • Provider Enumeration Date: 01/25/2010
  • Last Update Date: 01/25/2010

Medical Identifiers

Medical identifiers for Mr Manote Prommart such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619208063NPI-NPPES
100708360BMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Manote Prommart is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Manote Prommart,
1101 S 33rd St,
Broken Arrow, OK 74014-2929

Ph: (918) 497-8806
Mr Manote Prommart,
1101 S 33rd St,
Broken Arrow, OK 74014-2929

Ph: (918) 497-8806

Reviews and Comments


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