Mrs Donita Renee Waggoner, M ED LPC | |
1625 W Owen K Garriott Rd, Suite F, Enid, OK 73703-5653 | |
(580) 747-8574 | |
(580) 233-6932 |
Full Name | Mrs Donita Renee Waggoner |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1625 W Owen K Garriott Rd, Enid, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841427184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 101YP2500X (Oklahoma) | Primary |
Entity Name | Homecare Advisors Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689152894 PECOS PAC ID: 3173877362 Enrollment ID: O20181106001447 |
Mailing Address | Practice Location Address |
---|---|
Mrs Donita Renee Waggoner, M ED LPC 1625 W Owen K Garriott Rd, Suite F, Enid, OK 73703-5653 Ph: (580) 747-8574 | Mrs Donita Renee Waggoner, M ED LPC 1625 W Owen K Garriott Rd, Suite F, Enid, OK 73703-5653 Ph: (580) 747-8574 |
James Stilley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 N Grand St, Enid, OK 73701 Phone: 580-234-3791 Fax: 580-237-7711 | |
Brady Dixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 N Grand St, Enid, OK 73701 Phone: 580-234-3791 Fax: 580-237-7711 | |
Amy Brooke Jernigan, L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 W Oxford Ave, Enid, OK 73701 Phone: 580-233-7220 Fax: 580-237-7550 | |
Mr. Mark Alan Blanchard, BS, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1625 W Owen K Garriott Rd, Ste F, Enid, OK 73703 Phone: 580-242-4673 Fax: 580-242-4679 | |
Ramona Vernita Nazario, Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Bryan Dr, Enid, OK 73701 Phone: 580-234-2501 Fax: 580-213-3133 | |
Alexsandra D Stevens, LPC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 W Maple Ave, Enid, OK 73701 Phone: 580-242-5544 | |
Mrs. Linda Peck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 W Maple Ave, Enid, OK 73701 Phone: 580-242-5544 Fax: 580-233-8905 |