Ms Brenda S Bause, LPC | |
27b South West, Suite 100 & 200, Ardmore, OK 73401 | |
(918) 712-0859 | |
(918) 388-6456 |
Full Name | Ms Brenda S Bause |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 27b South West, Ardmore, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083632004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2337 (Oklahoma) | Primary |
Entity Name | Community Pathways Unlimited Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659328284 PECOS PAC ID: 6608776349 Enrollment ID: O20040109001005 |
Mailing Address | Practice Location Address |
---|---|
Ms Brenda S Bause, LPC Po Box 722, Ada, OK 74821-0722 Ph: (405) 210-1110 | Ms Brenda S Bause, LPC 27b South West, Suite 100 & 200, Ardmore, OK 73401 Ph: (918) 712-0859 |
Mrs. Jeni Presley, LPC Counselor Medicare: Medicare Enrolled Practice Location: Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 Phone: 580-226-8181 | |
Mrs. Autumn Michelle Cooper, MBS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 S Washington St, Ardmore, OK 73401 Phone: 580-223-9705 Fax: 580-223-8736 | |
Candace Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2530 S Commerce St Bldg B, Ardmore, OK 73401 Phone: 802-235-6365 Fax: 580-226-6727 | |
Karlee Janene Craddock, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 W Main St Ste 202, Ardmore, OK 73401 Phone: 405-593-8741 | |
Susan Wicke-howell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1219 K St Nw, Ardmore, OK 73401 Phone: 580-798-4523 | |
Katie Muter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 W Main St Ste 140, Ardmore, OK 73401 Phone: 580-224-2929 | |
Nathan Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2530 S Commerce St Bldg C, Ardmore, OK 73401 Phone: 580-226-5048 Fax: 580-226-3569 |