| Big Sky Counseling, Inc | |
|
5009 N Pennsylvania Ave Ste 105 Oklahoma City OK 73112-8887 | |
| (405) 761-2514 | |
| Not Available |
| Full Name | Big Sky Counseling, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 5009 N Pennsylvania Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Elizabeth Fletcher-brown (DIRECTOR) |
| Authorized Official Contact | 4057612514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Sky Counseling, Inc 5009 N Pennsylvania Ave Ste 105 Oklahoma City OK 73112-8887 Ph: () - | Big Sky Counseling, Inc 5009 N Pennsylvania Ave Ste 105 Oklahoma City OK 73112-8887 Ph: (405) 761-2514 |
| NPI Number | 1629322128 |
|---|---|
| Provider Enumeration Date | 11/05/2012 |
| Last Update Date | 11/05/2012 |
| Medicare PECOS PAC ID | 7810133980 |
|---|---|
| Medicare Enrollment ID | O20130415000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629322128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3871 (Oklahoma) | Primary |
| Provider Name | Elizabeth Joy Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568666857 PECOS PAC ID: 2163550021 Enrollment ID: I20100513000557 |
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