| Graves Counseling And Wellbeing Group Llc | |
|
1442 E Oak St Cushing OK 74023-3644 | |
| (918) 285-6268 | |
| (918) 376-0170 |
| Full Name | Graves Counseling And Wellbeing Group Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1442 E Oak St, Cushing, Oklahoma |
| Authorized Official Name and Position | Nichole D Graves (OWNER) |
| Authorized Official Contact | 9182850947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graves Counseling And Wellbeing Group Llc 1442 E Oak St Cushing OK 74023-3644 Ph: (918) 285-6268 | Graves Counseling And Wellbeing Group Llc 1442 E Oak St Cushing OK 74023-3644 Ph: (918) 285-6268 |
| NPI Number | 1194144709 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 04/28/2022 |
| Certification Date | 04/28/2022 |
| Medicare PECOS PAC ID | 2567779135 |
|---|---|
| Medicare Enrollment ID | O20150915000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194144709 | NPI | - | NPPES |
| 200536300A | Medicaid | OK | |
| 200536300B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5025, 1065 (Oklahoma) | Primary |
| Provider Name | Amber Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023249000 PECOS PAC ID: 0648409110 Enrollment ID: I20150113000366 |
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