Nsight For Life Llc | |
1313 N 16th Durant OK 74701 | |
(580) 634-2332 | |
(580) 634-2338 |
Full Name | Nsight For Life Llc |
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Speciality | Community/Behavioral Health |
Location | 1313 N 16th, Durant, Oklahoma |
Authorized Official Name and Position | Christina Mae Powell (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5806342332 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nsight For Life Llc 1313 N 16th Durant OK 74701 Ph: (580) 634-2332 | Nsight For Life Llc 1313 N 16th Durant OK 74701 Ph: (580) 634-2332 |
NPI Number | 1164941035 |
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Provider Enumeration Date | 09/12/2017 |
Last Update Date | 01/27/2024 |
Certification Date | 01/27/2024 |
Medicare PECOS PAC ID | 7719339134 |
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Medicare Enrollment ID | O20240122000247 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164941035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Christina M Powell |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1073996815 PECOS PAC ID: 8325490741 Enrollment ID: I20240122001028 |
Provider Name | Sarah Elizabeth Sexton |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1275992281 PECOS PAC ID: 8426493933 Enrollment ID: I20240223002559 |
Provider Name | Julia Selby |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1871827238 PECOS PAC ID: 0345686895 Enrollment ID: I20240307000818 |
Provider Name | Suzanne Richardson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295053825 PECOS PAC ID: 0244670982 Enrollment ID: I20240429003050 |
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