Mrs Connie Marie Glasco, LPC | |
501 East 2nd St, Heavener, OK 74937 | |
(918) 653-7718 | |
(918) 653-7279 |
Full Name | Mrs Connie Marie Glasco |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 501 East 2nd St, Heavener, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790905107 | NPI | - | NPPES |
599 | Other | OK | LPC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 599 (Oklahoma) | Primary |
101YM0800X | Counselor - Mental Health | 599 (Oklahoma) | Primary |
Entity Name | State Of Oklahoma |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588755532 PECOS PAC ID: 4486558962 Enrollment ID: O20031125000846 |
Mailing Address | Practice Location Address |
---|---|
Mrs Connie Marie Glasco, LPC 40479 Morris Creek Rd, Howe, OK 74940-7364 Ph: (918) 658-3891 | Mrs Connie Marie Glasco, LPC 501 East 2nd St, Heavener, OK 74937 Ph: (918) 653-7718 |
Hannah Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 E 2nd St, Heavener, OK 74937 Phone: 918-653-7718 | |
Ricky Lee Huggins, LADC Counselor Medicare: Medicare Enrolled Practice Location: 46100 Lovings Ln, Heavener, OK 74937 Phone: 479-650-9691 | |
Mrs. Christie Lean Horstman, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 E 2nd St, Heavener, OK 74937 Phone: 918-653-7450 Fax: 918-653-7279 | |
Marilyn Presley, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 W Avenue D, Heavener, OK 74937 Phone: 918-839-2377 | |
Mrs. Connie M Ray, LPC CANDIDATE Counselor Medicare: Medicare Enrolled Practice Location: 123 E Avenue C Ste B, Heavener, OK 74937 Phone: 918-658-4016 Fax: 866-318-8057 | |
Kristina Anne Mccoy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 E 2nd St, Heavener, OK 74937 Phone: 918-653-7718 | |
Brian Barnes, Counselor Medicare: Medicare Enrolled Practice Location: 123 E Avenue C, Heavener, OK 74937 Phone: 918-658-4016 |