| Arise Above Counseling Services Llc | |
|
118 S 1st St Ste A Blackwell OK 74631-2830 | |
| (580) 670-0050 | |
| Not Available |
| Full Name | Arise Above Counseling Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 118 S 1st St Ste A, Blackwell, Oklahoma |
| Authorized Official Name and Position | Sherryl A Jackson (LPC) |
| Authorized Official Contact | 5806700050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arise Above Counseling Services Llc 118 S 1st St Ste A Blackwell OK 74631-2830 Ph: (580) 670-0050 | Arise Above Counseling Services Llc 118 S 1st St Ste A Blackwell OK 74631-2830 Ph: (580) 670-0050 |
| NPI Number | 1669002481 |
|---|---|
| Provider Enumeration Date | 01/21/2020 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669002481 | NPI | - | NPPES |
| 12744231 | Other | OK | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 W Ferguson Ave, Blackwell, OK 74631 Phone: 580-789-3100 Fax: 580-956-8218 | |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 W Ferguson Ave, Blackwell, OK 74631 Phone: 580-789-3100 Fax: 580-956-8218 |