| Hopestone Behavioral Health Pllc | |
|
849 E 33rd St Edmond OK 73013-5407 | |
| (405) 255-9196 | |
| Not Available |
| Full Name | Hopestone Behavioral Health Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 849 E 33rd St, Edmond, Oklahoma |
| Authorized Official Name and Position | Terri Kiefner (OWNER) |
| Authorized Official Contact | 4052559196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopestone Behavioral Health Pllc 849 E 33rd St Edmond OK 73013-5407 Ph: (405) 255-9196 | Hopestone Behavioral Health Pllc 849 E 33rd St Edmond OK 73013-5407 Ph: (405) 255-9196 |
| NPI Number | 1487438503 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Medicare PECOS PAC ID | 7810346467 |
|---|---|
| Medicare Enrollment ID | O20231208000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487438503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Terri Paulette Kiefner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376228908 PECOS PAC ID: 9638528284 Enrollment ID: I20231208000900 |
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