| Mental Wellness Centers Of Oklahoma | |
|
475396 E 1054 Rd Muldrow OK 74948-7946 | |
| (888) 692-6590 | |
| Not Available |
| Full Name | Mental Wellness Centers Of Oklahoma |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 475396 E 1054 Rd, Muldrow, Oklahoma |
| Authorized Official Name and Position | Amanda Edwards (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8886926590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Wellness Centers Of Oklahoma 475396 E 1054 Rd Muldrow OK 74948-7946 Ph: (888) 692-6590 | Mental Wellness Centers Of Oklahoma 475396 E 1054 Rd Muldrow OK 74948-7946 Ph: (888) 692-6590 |
| NPI Number | 1407516370 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 02/16/2023 |
| Certification Date | 02/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407516370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Renegade Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809-b South Birch Street, Muldrow, OK 74948 Phone: 918-427-3944 |