Mrs Brenda Gayle Chadwick-liechti, MSC, LPC, CM-A | |
2000 E Lincoln Rd, Idabel, OK 74745-7353 | |
(580) 286-6639 | |
(580) 286-5206 |
Full Name | Mrs Brenda Gayle Chadwick-liechti |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2000 E Lincoln Rd, Idabel, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588793780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Choctaw Nation Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
---|---|
Mrs Brenda Gayle Chadwick-liechti, MSC, LPC, CM-A 1101 E Monroe Ave, Mcalester, OK 74501-4815 Ph: (918) 426-7800 | Mrs Brenda Gayle Chadwick-liechti, MSC, LPC, CM-A 2000 E Lincoln Rd, Idabel, OK 74745-7353 Ph: (580) 286-6639 |
Tina Simer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 S Central Ave, Idabel, OK 74745 Phone: 580-286-5184 Fax: 580-286-5185 | |
Catherine White, M.ED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 S Central Ave, Idabel, OK 74745 Phone: 580-212-9193 Fax: 580-286-3478 | |
Kristy Woolsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Se Washington St, Idabel, OK 74745 Phone: 580-286-6671 | |
Barbara Sharon Lumsden, LPC, LADC, MBS Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 S Central Ave, Idabel, OK 74745 Phone: 580-286-5045 | |
George Donald Haslam Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 S Central Ave, Idabel, OK 74745 Phone: 580-286-5045 | |
Corey Griffin, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Se Ave N, Idabel, OK 74745 Phone: 580-286-6671 Fax: 580-286-5747 | |
Brandy T Hickerson, MED, PSYCHOLOGIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 S Central Ave, Idabel, OK 74745 Phone: 580-286-5184 Fax: 580-286-5185 |