Tommie J Smith, MS, LPC | |
Rr 1, Box 35d, Boley, OK 74829 | |
(918) 667-3367 | |
(918) 667-3387 |
Full Name | Tommie J Smith |
---|---|
Gender | Female |
Speciality | Counselor |
Location | Rr 1, Box 35d, Boley, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497825822 | NPI | - | NPPES |
100685660A | Medicaid | OK | |
100685660D | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | #4003 (Oklahoma) | Primary |
Entity Name | Community Pathways Unlimited Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659328284 PECOS PAC ID: 6608776349 Enrollment ID: O20040109001005 |
Mailing Address | Practice Location Address |
---|---|
Tommie J Smith, MS, LPC 118 S. Seminole St., Wewoka, OK 74884 Ph: (405) 257-3102 | Tommie J Smith, MS, LPC Rr 1, Box 35d, Boley, OK 74829 Ph: (918) 667-3367 |
Thomas Mark Keltner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Miles East Of Boley On Hwy 62, Boley, OK 74829 Phone: 918-667-3367 Fax: 918-667-3387 | |
Michelle L Brown, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: Rt 1, Box 35d, Boley, OK 74829 Phone: 918-667-3367 Fax: 918-667-3387 | |
Donna Danelle Magness, MS, LPC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: Rt 1, Box 35d, Boley, OK 74829 Phone: 918-667-3367 Fax: 918-667-3387 | |
Mrs. Marilyn Elizabeth Kincade, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: Rr 1, Box 35d, Boley, OK 74829 Phone: 918-667-3367 Fax: 918-667-3387 | |
Mrs. Sharon Kay Jenkins, MS LBP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Miles East Of Boley On Hwy 62, Boley, OK 74829 Phone: 918-667-3367 Fax: 918-667-3387 | |
Kathleen Marie Horton, Counselor Medicare: Not Enrolled in Medicare Practice Location: Route 1 Box 35 D, Boley, OK 74829 Phone: 918-667-9967 Fax: 918-667-3387 | |
Mrs. Zella Marie Beauford, MS, LPC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: Rr 1, Boley, OK 74829 Phone: 918-667-3367 Fax: 918-667-3387 |