| Meta Mental Health Llc | |
|
218 E Central Ave Ste A Miami OK 74354-7013 | |
| (918) 919-3298 | |
| Not Available |
| Full Name | Meta Mental Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 218 E Central Ave Ste A, Miami, Oklahoma |
| Authorized Official Name and Position | Carla Wolf (THERAPIST) |
| Authorized Official Contact | 4176215965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meta Mental Health Llc 218 E Central Ave Ste A Miami OK 74354-7013 Ph: (918) 919-3298 | Meta Mental Health Llc 218 E Central Ave Ste A Miami OK 74354-7013 Ph: (918) 919-3298 |
| NPI Number | 1235867607 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Medicare PECOS PAC ID | 2567806490 |
|---|---|
| Medicare Enrollment ID | O20240220001368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235867607 | NPI | - | NPPES |
| Provider Name | Carla Wolf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568914612 PECOS PAC ID: 3476997305 Enrollment ID: I20240220001471 |
| Provider Name | Deanna M Duvall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669084620 PECOS PAC ID: 2163870486 Enrollment ID: I20240425001586 |
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