Mr Phillip Anthony Black, MS | |
500 S Sweet Gum Ave, Broken Arrow, OK 74012-4543 | |
(918) 250-5963 | |
Not Available |
Full Name | Mr Phillip Anthony Black |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 500 S Sweet Gum Ave, Broken Arrow, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326149873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2649 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Phillip Anthony Black, MS 500 S Sweet Gum Ave, Broken Arrow, OK 74012-4543 Ph: (918) 250-5963 | Mr Phillip Anthony Black, MS 500 S Sweet Gum Ave, Broken Arrow, OK 74012-4543 Ph: (918) 250-5963 |
Miss Ashley R Wale, MHR ,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3112 S Nyssa Ave, Broken Arrow, OK 74012 Phone: 918-813-6684 | |
Ms. Edwyna Warrior Walker, BSED MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 N 7th St, Apt. 1214, Broken Arrow, OK 74012 Phone: 918-869-8200 | |
Katherine Silvey Bates, MCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 W Atlanta St, Broken Arrow, OK 74012 Phone: 918-615-6620 | |
Robin Lynn Mayo, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 W Atlanta St, Broken Arrow, OK 74012 Phone: 918-280-9104 Fax: 918-609-2850 | |
Fady Srour, M.A, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19426 E 49th St S, Broken Arrow, OK 74014 Phone: 918-355-4253 | |
Lorena I Salas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19915 E 37th St S, Broken Arrow, OK 74014 Phone: 918-313-5304 | |
Jessica Turner Grier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2548 E Kenosha St, Broken Arrow, OK 74014 Phone: 918-355-0993 |