Theresa Denise Kloh, | |
16400 Clear Creek Dr, Edmond, OK 73013-1249 | |
(405) 684-4913 | |
Not Available |
Full Name | Theresa Denise Kloh |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 16400 Clear Creek Dr, Edmond, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912226077 | NPI | - | NPPES |
200120060A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (Oklahoma) | Primary |
Entity Name | Homecare Advisors Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689152894 PECOS PAC ID: 3173877362 Enrollment ID: O20181106001447 |
Mailing Address | Practice Location Address |
---|---|
Theresa Denise Kloh, 16400 Clear Creek Dr, Edmond, OK 73013-1249 Ph: (405) 684-4913 | Theresa Denise Kloh, 16400 Clear Creek Dr, Edmond, OK 73013-1249 Ph: (405) 684-4913 |
Mr. Dan J Archer, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2801 E Memorial Rd Ste 102, Edmond, OK 73013 Phone: 405-760-0242 | |
Anthony Adigwe, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Old Bugle Rd, Edmond, OK 73003 Phone: 405-340-5952 Fax: 405-302-2523 | |
Ms. Tiffany Joann Berry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Nw 138th St, Edmond, OK 73013 Phone: 405-819-9599 | |
Dr. Tonica Wicker, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5018 Pheasant Crest Rd, Edmond, OK 73034 Phone: 808-292-4919 | |
Starita Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 W 15th St Apt 39, Edmond, OK 73013 Phone: 405-889-5782 | |
Mrs. Angela Schenck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 Martina Ln, Edmond, OK 73034 Phone: 405-642-7502 | |
Lisa Grossenbacher, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1603 E 19th St Ste 105, Edmond, OK 73013 Phone: 405-568-1950 |