| Priority Mental Health | |
|
5601 Nw 72nd St Ste 112b Warr Acres OK 73132-5931 | |
| (405) 719-3324 | |
| Not Available |
| Full Name | Priority Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 5601 Nw 72nd St Ste 112b, Warr Acres, Oklahoma |
| Authorized Official Name and Position | Hannah Ketchum (LCSW) |
| Authorized Official Contact | 4057193324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priority Mental Health 5601 Nw 72nd St Ste 112b Warr Acres OK 73132-5931 Ph: (405) 719-3324 | Priority Mental Health 5601 Nw 72nd St Ste 112b Warr Acres OK 73132-5931 Ph: (405) 719-3324 |
| NPI Number | 1790434710 |
|---|---|
| Provider Enumeration Date | 03/18/2022 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Medicare PECOS PAC ID | 6608262928 |
|---|---|
| Medicare Enrollment ID | O20220413000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790434710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Hannah Ketchum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467114850 PECOS PAC ID: 6800282120 Enrollment ID: I20220413000347 |
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