| Gillispie Counseling Services | |
|
23 N 8th St Duncan OK 73533-4601 | |
| (580) 606-6577 | |
| (855) 253-2083 |
| Full Name | Gillispie Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 23 N 8th St, Duncan, Oklahoma |
| Authorized Official Name and Position | Tracie Gillispie (DIRECTOR) |
| Authorized Official Contact | 4054374497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gillispie Counseling Services 23 N 8th St Duncan OK 73533-4601 Ph: (405) 437-4497 | Gillispie Counseling Services 23 N 8th St Duncan OK 73533-4601 Ph: (580) 606-6577 |
| NPI Number | 1851702252 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 09/21/2022 |
| Certification Date | 09/21/2022 |
| Medicare PECOS PAC ID | 1759814247 |
|---|---|
| Medicare Enrollment ID | O20241022004656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851702252 | NPI | - | NPPES |
| 200539560 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5018 (Oklahoma) | Primary |
| Provider Name | Tracie Gillispie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194028183 PECOS PAC ID: 3577935717 Enrollment ID: I20241119001750 |
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