| Green Country Behavioral Health Services, Inc. | |
|
619 N Main St Muskogee OK 74401-4431 | |
| (918) 682-8407 | |
| (918) 687-0976 |
| Full Name | Green Country Behavioral Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 619 N Main St, Muskogee, Oklahoma |
| Authorized Official Name and Position | Mark Brian Johnson (MIS DIRECTOR) |
| Authorized Official Contact | 9186828407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Country Behavioral Health Services, Inc. 619 N Main St Muskogee OK 74401-4431 Ph: (918) 682-8407 | Green Country Behavioral Health Services, Inc. 619 N Main St Muskogee OK 74401-4431 Ph: (918) 682-8407 |
| NPI Number | 1336203132 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 04/01/2008 |
| Medicare PECOS PAC ID | 8022019017 |
|---|---|
| Medicare Enrollment ID | O20171128001122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336203132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Oklahoma) | Primary |
| Provider Name | Ashley N Aldrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003850132 PECOS PAC ID: 1153344999 Enrollment ID: I20060118000086 |
| Provider Name | Holly D Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679986384 PECOS PAC ID: 2567681539 Enrollment ID: I20140924001513 |
| Provider Name | Leticea M Newton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265422281 PECOS PAC ID: 7618881814 Enrollment ID: I20160212000140 |
| Provider Name | Lisa Gale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245646389 PECOS PAC ID: 6608193313 Enrollment ID: I20170711000609 |
| Provider Name | Aaron Rashae Mcjunkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023380953 PECOS PAC ID: 9537534557 Enrollment ID: I20230405000901 |
Erin Goss, Lpc, Ladc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 State St Ste 401, Muskogee, OK 74401 Phone: 918-683-8827 | |
Integrity Pathways Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2024 W Broadway St, Muskogee, OK 74401 Phone: 918-682-9292 Fax: 918-682-5492 | |
Rich Consulting Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 928 N York St Ste 12, Muskogee, OK 74403 Phone: 580-716-9671 | |
Tracie B Goodspeed, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3941 S 1st St W, Muskogee, OK 74401 Phone: 918-687-3730 | |
Golden Rule Industries Of Muskogee Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2022 W Shawnee St, Muskogee, OK 74401 Phone: 918-683-5505 Fax: 918-683-4714 | |
Green Country Behavioral Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 N Main St, Muskogee, OK 74401 Phone: 918-682-8407 | |
Muskogee County Council Of Youth Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4009 Eufaula Ave, Muskogee, OK 74403 Phone: 918-682-2841 Fax: 918-682-3359 |