| Oklahoma Mental Health Consulting Llc | |
|
2500 Mcgee Drive Suite #102 Norman OK 73072-6705 | |
| (405) 679-5421 | |
| (405) 573-9727 |
| Full Name | Oklahoma Mental Health Consulting Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2500 Mcgee Drive, Norman, Oklahoma |
| Authorized Official Name and Position | Shane Wilson (DIRECTOR) |
| Authorized Official Contact | 4054749374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Mental Health Consulting Llc 2500 Mcgee Drive Suite #102 Norman OK 73072-6705 Ph: (405) 679-5421 | Oklahoma Mental Health Consulting Llc 2500 Mcgee Drive Suite #102 Norman OK 73072-6705 Ph: (405) 679-5421 |
| NPI Number | 1821436064 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 06/20/2014 |
| Medicare PECOS PAC ID | 7618329129 |
|---|---|
| Medicare Enrollment ID | O20240121000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821436064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Shane Ray Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063742138 PECOS PAC ID: 8527410034 Enrollment ID: I20240121000121 |
| Provider Name | Otis Ross Gatewood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770860892 PECOS PAC ID: 2769835487 Enrollment ID: I20240130001360 |
| Provider Name | Roberta Sue Reimer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891013850 PECOS PAC ID: 7416300058 Enrollment ID: I20240130002527 |
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