Behavioral Health Services Of Green Country | |
463 Sw 579 Loop Bldg B Chouteau OK 74337-2885 | |
(918) 476-0501 | |
Not Available |
Full Name | Behavioral Health Services Of Green Country |
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Speciality | Counselor - Mental Health |
Location | 463 Sw 579 Loop Bldg B, Chouteau, Oklahoma |
Authorized Official Name and Position | Lance Dickison (OWNER) |
Authorized Official Contact | 9184760501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Behavioral Health Services Of Green Country 463 Sw 579 Loop Bldg B Chouteau OK 74337-2885 Ph: (918) 476-0501 | Behavioral Health Services Of Green Country 463 Sw 579 Loop Bldg B Chouteau OK 74337-2885 Ph: (918) 476-0501 |
NPI Number | 1598060675 |
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Provider Enumeration Date | 01/20/2011 |
Last Update Date | 01/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598060675 | NPI | - | NPPES |
200315410A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3005 (Oklahoma) | Primary |
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