Terri Thelen, MA | |
905 Nw 4th St, Stigler, OK 74462-1652 | |
(918) 967-8223 | |
Not Available |
Full Name | Terri Thelen |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 905 Nw 4th St, Stigler, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609208719 | NPI | - | NPPES |
200534390A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 5488 (Oklahoma) | Primary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
Entity Name | Lighthouse Behavioral Wellness Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518997097 PECOS PAC ID: 6406748961 Enrollment ID: O20040329000653 |
Mailing Address | Practice Location Address |
---|---|
Terri Thelen, MA 601 W Liberty Rd., Atoka, OK 74525-4418 Ph: (303) 345-7045 | Terri Thelen, MA 905 Nw 4th St, Stigler, OK 74462-1652 Ph: (918) 967-8223 |
Ms. Flora Lee Harper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1407 Ne D St, Suite B, Stigler, OK 74462 Phone: 918-967-8491 Fax: 918-967-2552 | |
Brenda R Edwards, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 30611 W County Road 1230, Stigler, OK 74462 Phone: 918-441-5764 | |
Stephanie Guthrie, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 Nw 4th St, Stigler, OK 74462 Phone: 918-470-0457 | |
Ms. Brenda Fields, Counselor Medicare: Medicare Enrolled Practice Location: 1505 E Main St, Stigler, OK 74462 Phone: 918-967-3368 Fax: 918-967-3351 | |
Shannon Gail Roye Johnston, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 Nw 4th St, Stigler, OK 74462 Phone: 918-686-3790 | |
Miss Lisa Diane Trickett, MS, LPC-US Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 Nw 4th St, Stigler, OK 74462 Phone: 918-967-8223 Fax: 918-967-8203 | |
Miss Sharon Louise Mccoy, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1407 Ne D St, Stigler, OK 74462 Phone: 918-967-4463 Fax: 918-967-2594 |