| Mtf Counseling Resources, Llc | |
|
324 E Chestnut St Coweta OK 74429-2532 | |
| (918) 279-6565 | |
| (918) 279-6551 |
| Full Name | Mtf Counseling Resources, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 324 E Chestnut St, Coweta, Oklahoma |
| Authorized Official Name and Position | Manote Prommart (MARKETING DIRECTOR) |
| Authorized Official Contact | 9184978806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mtf Counseling Resources, Llc 324 E Chestnut St Coweta OK 74429-2532 Ph: () - | Mtf Counseling Resources, Llc 324 E Chestnut St Coweta OK 74429-2532 Ph: (918) 279-6565 |
| NPI Number | 1326341306 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 08/30/2011 |
| Medicare PECOS PAC ID | 8325218100 |
|---|---|
| Medicare Enrollment ID | O20110906000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326341306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Martina Swoboda-wiedel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790042588 PECOS PAC ID: 3870881345 Enrollment ID: I20161017000968 |
| Provider Name | Amber Mansfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336468164 PECOS PAC ID: 5395183883 Enrollment ID: I20240403001084 |
| Provider Name | Angela Marie Alderman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902228349 PECOS PAC ID: 8628416070 Enrollment ID: I20240403003322 |
| Provider Name | Michael Berry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487988291 PECOS PAC ID: 1850739970 Enrollment ID: I20240409000439 |
| Provider Name | Rhonda Jean Churchill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730411687 PECOS PAC ID: 8224475272 Enrollment ID: I20240409001308 |
| Provider Name | Misty Medcalf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154587665 PECOS PAC ID: 7517307663 Enrollment ID: I20240506004671 |
| Provider Name | Victoria Hoyt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346425097 PECOS PAC ID: 8325580228 Enrollment ID: I20240606003341 |