| Miracles Counseling Services, Llc | |
|
5601 Nw 72nd St Ste 260 Warr Acres OK 73132-5931 | |
| (678) 777-8038 | |
| Not Available |
| Full Name | Miracles Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5601 Nw 72nd St, Warr Acres, Oklahoma |
| Authorized Official Name and Position | Stanley Nzuonkwelle (CEO) |
| Authorized Official Contact | 6787778038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracles Counseling Services, Llc 3224 Sw 103rd St Oklahoma City OK 73159-6042 Ph: (678) 777-8038 | Miracles Counseling Services, Llc 5601 Nw 72nd St Ste 260 Warr Acres OK 73132-5931 Ph: (678) 777-8038 |
| NPI Number | 1205374980 |
|---|---|
| Provider Enumeration Date | 02/02/2017 |
| Last Update Date | 02/02/2017 |
| Medicare PECOS PAC ID | 1557765971 |
|---|---|
| Medicare Enrollment ID | O20210806002998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205374980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ernest T Abunaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811558844 PECOS PAC ID: 2062814551 Enrollment ID: I20210706003430 |
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