| Our House Mhsa Inc | |
|
2305 Sw H Ave Lawton OK 73505-8103 | |
| (580) 699-8000 | |
| (580) 699-2437 |
| Full Name | Our House Mhsa Inc |
|---|---|
| Speciality | Counselor |
| Location | 2305 Sw H Ave, Lawton, Oklahoma |
| Authorized Official Name and Position | Dewell Brewer (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5806998000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our House Mhsa Inc 2305 Sw H Ave Ste 1 Lawton OK 73505-8103 Ph: (580) 699-8000 | Our House Mhsa Inc 2305 Sw H Ave Lawton OK 73505-8103 Ph: (580) 699-8000 |
| NPI Number | 1790144160 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 12/29/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 8628428455 |
|---|---|
| Medicare Enrollment ID | O20240513003509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790144160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Deshawn Brewer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386914885 PECOS PAC ID: 2961843602 Enrollment ID: I20240513003587 |
| Provider Name | Laquava K Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013492859 PECOS PAC ID: 8022551951 Enrollment ID: I20240620002256 |
| Provider Name | Jackie Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922298975 PECOS PAC ID: 9638612260 Enrollment ID: I20240624001325 |
| Provider Name | Sammie L Denson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659624427 PECOS PAC ID: 3173067212 Enrollment ID: I20240701002325 |
| Provider Name | Carlos Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295174233 PECOS PAC ID: 7012451065 Enrollment ID: I20240701002919 |
| Provider Name | Monica Cora Witherspoon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053860312 PECOS PAC ID: 6305380361 Enrollment ID: I20240701003305 |
| Provider Name | Amanda L Foat |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538433529 PECOS PAC ID: 0749724755 Enrollment ID: I20240702000514 |
| Provider Name | Stephanie L Colbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588924237 PECOS PAC ID: 2163966177 Enrollment ID: I20240702000663 |
| Provider Name | Elizabeth A Cerney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922591601 PECOS PAC ID: 1456895234 Enrollment ID: I20240703002864 |
| Provider Name | Latoria M Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861742868 PECOS PAC ID: 2961947429 Enrollment ID: I20240709004079 |
| Provider Name | Maurice D Grant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477814556 PECOS PAC ID: 4486199759 Enrollment ID: I20240710004498 |
| Provider Name | Deborah A Wade |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689097727 PECOS PAC ID: 6406391721 Enrollment ID: I20240711000609 |
| Provider Name | John Wc Wyden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588903959 PECOS PAC ID: 8527503788 Enrollment ID: I20240711002362 |
| Provider Name | Wendy Tunnessen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073960936 PECOS PAC ID: 6709321631 Enrollment ID: I20240718003746 |
| Provider Name | Jaynee M Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356619431 PECOS PAC ID: 1254877897 Enrollment ID: I20240719001132 |
| Provider Name | Nastassia L Tidwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275911760 PECOS PAC ID: 9830635051 Enrollment ID: I20240724002691 |
| Provider Name | Darrell W Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245890466 PECOS PAC ID: 2567909062 Enrollment ID: I20240801002753 |
Lynch & Lynch, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6205 W Gore Blvd, Lawton, OK 73505 Phone: 580-536-3900 Fax: 580-357-8787 | |
Neurohealth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Sw A Ave, Lawton, OK 73505 Phone: 580-248-1004 Fax: 580-248-1008 | |
Southern Oklahoma Treatment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1307 Sw Washington Ave, Lawton, OK 73501 Phone: 405-208-9354 | |
Jennifer Baker, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6425 Nw Cache Rd Ste 215, Lawton, OK 73505 Phone: 580-583-2133 | |
Western Plains Youth & Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Sw D Ave, Ste. B, Lawton, OK 73501 Phone: 580-248-3065 Fax: 580-248-3370 | |
Trinity Autism And Behavior Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 W Gore Blvd, Lawton, OK 73501 Phone: 817-476-0393 |