Mr Phillip Anthony Black, MS - Counselor in Broken Arrow, OK

Mr Phillip Anthony Black, MS is a Counselor - Mental Health based in Broken Arrow, Oklahoma. Mr Phillip Anthony Black is licensed to practice in Oklahoma (license number 2649) and his current practice location is 500 S Sweet Gum Ave, Broken Arrow, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (918) 250-5963.

NPI number for Mr Phillip Anthony Black is 1326149873 and his current mailing address is 500 S Sweet Gum Ave, Broken Arrow, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326149873.

Contact Information

Mr Phillip Anthony Black, MS
500 S Sweet Gum Ave,
Broken Arrow, OK 74012-4543
(918) 250-5963
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Phillip Anthony Black
GenderMale
SpecialityCounselor - Mental Health
Location500 S Sweet Gum Ave, Broken Arrow, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326149873
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Phillip Anthony Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326149873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 2649 (Oklahoma)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 Phillip Anthony Black 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 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

Reviews and Comments


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