Samayra Tavakoli, MS | |
2776 Washington Dr Ste 100, Norman, OK 73069-1018 | |
(580) 530-1536 | |
Not Available |
Full Name | Samayra Tavakoli |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2776 Washington Dr Ste 100, Norman, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386002087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 11271 (Oklahoma) | Primary |
Entity Name | Mosiac Centre |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255623930 PECOS PAC ID: 3870723802 Enrollment ID: O20170810000892 |
Mailing Address | Practice Location Address |
---|---|
Samayra Tavakoli, MS 2776 Washington Dr Ste 100, Norman, OK 73069-1018 Ph: (405) 407-0784 | Samayra Tavakoli, MS 2776 Washington Dr Ste 100, Norman, OK 73069-1018 Ph: (580) 530-1536 |
Dr. Marshall Andrew Glenn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3613 Gullane Dr, Norman, OK 73072 Phone: 405-249-4130 | |
Mrs. Chyla T Hall, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 24th Ave Nw Ste E, Norman, OK 73069 Phone: 405-329-3349 Fax: 405-329-6617 | |
Renee Thornton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 24th Ave Nw, Ste E, Norman, OK 73069 Phone: 405-329-8167 | |
Donita K Goodin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6100 E Tecumseh Rd, Norman, OK 73026 Phone: 405-464-9536 Fax: 405-321-3448 | |
Ms. Kimberlee Dawn Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2416 W Brooks St Apt 1, Norman, OK 73069 Phone: 405-982-8056 | |
Ashley Sellers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Ferrill St, Norman, OK 73071 Phone: 580-583-3234 | |
Loretta Gail Post, CPRSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St, Norman, OK 73071 Phone: 405-307-4836 |