| Hope Blooms Llc | |
|
436 Court St Ste B Muskogee OK 74401-6303 | |
| (918) 310-0000 | |
| (918) 640-2877 |
| Full Name | Hope Blooms Llc |
|---|---|
| Speciality | Counselor |
| Location | 436 Court St Ste B, Muskogee, Oklahoma |
| Authorized Official Name and Position | Marjorie J Ray (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9186402877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Blooms Llc 436 Court St Ste B Muskogee OK 74401-6303 Ph: (918) 310-0000 | Hope Blooms Llc 436 Court St Ste B Muskogee OK 74401-6303 Ph: (918) 310-0000 |
| NPI Number | 1912665092 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Medicare PECOS PAC ID | 1557801768 |
|---|---|
| Medicare Enrollment ID | O20240913001632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912665092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Marjorie Williams Ray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518247519 PECOS PAC ID: 2466992672 Enrollment ID: I20240913001859 |
| Provider Name | Brittany Mcfarland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720411069 PECOS PAC ID: 1759814122 Enrollment ID: I20241024001938 |
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