| Amanda Wiens | |
|
1425 N Main St Ste 2 Fairview OK 73737 | |
| (405) 664-7540 | |
| (580) 701-2658 |
| Full Name | Amanda Wiens |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1425 N Main St, Fairview, Oklahoma |
| Authorized Official Name and Position | Amanda Wiens (OWNER) |
| Authorized Official Contact | 4056647540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Wiens Po Box 265 Fairview OK 73737 Ph: (405) 664-7540 | Amanda Wiens 1425 N Main St Ste 2 Fairview OK 73737 Ph: (405) 664-7540 |
| NPI Number | 1780322479 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 10/25/2023 |
| Certification Date | 05/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780322479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Golden Counseling And Coaching, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 N 10th Ave, Fairview, OK 73737 Phone: 405-880-6525 | |
State Of Oklahoma Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Northwest Center For Behavioral Health, 1425 N. Main, Suite 1, Fairview, OK 73737 Phone: 580-227-2088 Fax: 580-227-2349 |