| Choose Courage Counseling Services Pllc | |
|
3300 S Aspen Ave Ste D Broken Arrow OK 74012-7501 | |
| (918) 973-1464 | |
| Not Available |
| Full Name | Choose Courage Counseling Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3300 S Aspen Ave Ste D, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Molly Melinda Lawson (ADMINISTRATION) |
| Authorized Official Contact | 9186882505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choose Courage Counseling Services Pllc 3300 S Aspen Ave Ste D Broken Arrow OK 74012-7501 Ph: (918) 973-1464 | Choose Courage Counseling Services Pllc 3300 S Aspen Ave Ste D Broken Arrow OK 74012-7501 Ph: (918) 973-1464 |
| NPI Number | 1528631314 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 07/20/2021 |
| Certification Date | 07/20/2021 |
| Medicare PECOS PAC ID | 3577936863 |
|---|---|
| Medicare Enrollment ID | O20230308000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528631314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | James R Baughman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356676852 PECOS PAC ID: 2860758042 Enrollment ID: I20171103000024 |
| Provider Name | Alison R Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619381498 PECOS PAC ID: 8628347952 Enrollment ID: I20210514001708 |
| Provider Name | Clinton T Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871621060 PECOS PAC ID: 1951684232 Enrollment ID: I20240122002007 |
| Provider Name | Stacy Lynn Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043871213 PECOS PAC ID: 5193131225 Enrollment ID: I20240304001957 |
| Provider Name | Stacy Lee Gibbs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194996199 PECOS PAC ID: 9032525159 Enrollment ID: I20240306002440 |
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