Tom Ethan Seidel, | |
23 E Ross Ave, Sapulpa, OK 74066-6423 | |
(918) 439-6826 | |
Not Available |
Full Name | Tom Ethan Seidel |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 23 E Ross Ave, Sapulpa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265848584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Creoks Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841311289 PECOS PAC ID: 0749591469 Enrollment ID: O20161101000781 |
Mailing Address | Practice Location Address |
---|---|
Tom Ethan Seidel, 5032 Oak Timber Dr, Tulsa, OK 74131-2667 Ph: (918) 439-6826 | Tom Ethan Seidel, 23 E Ross Ave, Sapulpa, OK 74066-6423 Ph: (918) 439-6826 |
Mrs. Grace Daniel Joy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 E Dewey Ave, Sapulpa, OK 74066 Phone: 918-227-2016 Fax: 918-227-1125 | |
Mr. Daniel L Sherman, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 E Dewey Ave, Sapulpa, OK 74066 Phone: 918-227-2016 | |
Micah Robert Barker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1231 E Dewey Ave, Sapulpa, OK 74066 Phone: 918-227-6800 | |
Ms. Melinda L Miles, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 S Elm St, Sapulpa, OK 74066 Phone: 918-284-7541 | |
Krista Hearon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Edgewood Ln, Sapulpa, OK 74066 Phone: 405-938-5786 | |
Mrs. Linda Ruth Lokey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 E Ross Ave, Sapulpa, OK 74066 Phone: 918-216-4622 Fax: 918-227-5875 | |
Ms. Valerie Jo Cartos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 E Ross Ave, Sapulpa, OK 74066 Phone: 918-227-2016 Fax: 918-227-1125 |