| Millennium Community Services Llc | |
|
448 36th Ave Nw Suite 101 Norman OK 73072-4746 | |
| (405) 573-9905 | |
| (405) 701-0590 |
| Full Name | Millennium Community Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 448 36th Ave Nw, Norman, Oklahoma |
| Authorized Official Name and Position | Wade Hamil (CEO) |
| Authorized Official Contact | 4056270276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennium Community Services Llc 507 Dewey Ave Poteau OK 74953-4215 Ph: (918) 649-0172 | Millennium Community Services Llc 448 36th Ave Nw Suite 101 Norman OK 73072-4746 Ph: (405) 573-9905 |
| NPI Number | 1598188203 |
|---|---|
| Provider Enumeration Date | 01/31/2014 |
| Last Update Date | 01/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598188203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0785 (Oklahoma) | Primary |
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