| Elite Psychiatric Services Llc | |
|
413 Highway 70 N Kingston OK 73439-8235 | |
| (580) 564-7308 | |
| (580) 564-7309 |
| Full Name | Elite Psychiatric Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 413 Highway 70 N, Kingston, Oklahoma |
| Authorized Official Name and Position | Melissa D Holt (OWNER) |
| Authorized Official Contact | 5805647308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Psychiatric Services Llc 413 Highway 70 N Kingston OK 73439-8235 Ph: (580) 564-7308 | Elite Psychiatric Services Llc 413 Highway 70 N Kingston OK 73439-8235 Ph: (580) 564-7308 |
| NPI Number | 1619261377 |
|---|---|
| Provider Enumeration Date | 05/30/2011 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619261377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Elite Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Highway 70 N, Kingston, OK 73439 Phone: 580-564-7308 Fax: 580-564-7309 | |
Elite Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Highway 70 N, Kingston, OK 73439 Phone: 580-564-7308 Fax: 580-564-7309 | |
Dana Boldt Green, M.ed., Lpc, Ncgc-2, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8800 Birch St, Kingston, OK 73439 Phone: 580-565-2252 | |
Southern Oklahoma Treatment Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 North Hwy 70, Kingston, OK 73439 Phone: 580-564-1660 Fax: 580-564-2475 | |
Balanced Approach Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Highway 70 N, Kingston, OK 73439 Phone: 405-401-8535 | |
Elite Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Highway 70 N, Kingston, OK 73439 Phone: 580-564-7308 Fax: 580-564-7309 |