Susan Leigh Mustafina, MED | |
905 E Wilson St, Shawnee, OK 74804-4165 | |
(405) 214-0116 | |
Not Available |
Full Name | Susan Leigh Mustafina |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 905 E Wilson St, Shawnee, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689952129 | NPI | - | NPPES |
200362320B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
Entity Name | Focus Mental Health Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851658959 PECOS PAC ID: 9739420019 Enrollment ID: O20190415001879 |
Mailing Address | Practice Location Address |
---|---|
Susan Leigh Mustafina, MED 33007 45th St, Shawnee, OK 74804-3429 Ph: (405) 395-7548 | Susan Leigh Mustafina, MED 905 E Wilson St, Shawnee, OK 74804-4165 Ph: (405) 214-0116 |
Darian N Gates, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-275-7100 | |
Stephanie A. Jennings, LPC-CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1605 N Harrison St, Shawnee, OK 74804 Phone: 405-481-7187 Fax: 405-481-7219 | |
Jessica Loren Buchanan, MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-878-1135 Fax: 405-878-1138 | |
Mrs. Georgia Earline Ramsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-275-7100 | |
Kristy Ann Morrell, LCSW-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Madeline Dr, Shawnee, OK 74801 Phone: 405-585-9653 | |
Christine Wahpekeche, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Butler Dr, Shawnee, OK 74804 Phone: 405-617-9669 | |
Lori Payne, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-424-7711 Fax: 405-425-0445 |