Sheila J Self, MS, LPC | |
601 N Grand Ave, Tahlequah, OK 74464-2302 | |
(918) 444-2120 | |
(918) 445-8234 |
Full Name | Sheila J Self |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 601 N Grand Ave, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053558379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3357 (Oklahoma) | Primary |
Entity Name | Balance Womens Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790186385 PECOS PAC ID: 3476927740 Enrollment ID: O20230328002277 |
Mailing Address | Practice Location Address |
---|---|
Sheila J Self, MS, LPC 601 N Grand Avenue, Northeastern State University Office Of Student Affairs, Tahlequah, OK 74464 Ph: (918) 444-2120 | Sheila J Self, MS, LPC 601 N Grand Ave, Tahlequah, OK 74464-2302 Ph: (918) 444-2120 |
Alicia Franke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1606 E Downing St, Tahlequah, OK 74464 Phone: 918-775-7787 | |
Mr. Chad Alvin Harp, MS ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Talley St, Tahlequah, OK 74464 Phone: 918-728-1685 | |
Matthew Dennis Wenske, LPC-CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1640 W Keetoowah St, Tahlequah, OK 74464 Phone: 918-708-9009 Fax: 918-708-1714 | |
Mrs. Sherry Ann Chennault, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2021 Mahaney Ave Ste 4, Tahlequah, OK 74464 Phone: 918-901-9300 Fax: 918-901-9339 | |
Sara Howell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-0078 | |
Terrah Lynn Manes, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 711 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-207-0078 Fax: 918-207-0558 | |
Ms. Rhonda Carey, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 W Shawnee St, Tahlequah, OK 74464 Phone: 918-207-7523 |