| Phoenix Counseling Services Llc | |
|
Rr 6 Box 5 Stilwell OK 74960-9501 | |
| (918) 797-7786 | |
| (918) 696-8679 |
| Full Name | Phoenix Counseling Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Rr 6 Box 5, Stilwell, Oklahoma |
| Authorized Official Name and Position | Krista Michelle Roach (OWNER) |
| Authorized Official Contact | 9187977786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Counseling Services Llc Rr 6 Box 5 Stilwell OK 74960-9501 Ph: (918) 797-7786 | Phoenix Counseling Services Llc Rr 6 Box 5 Stilwell OK 74960-9501 Ph: (918) 797-7786 |
| NPI Number | 1053721894 |
|---|---|
| Provider Enumeration Date | 05/01/2014 |
| Last Update Date | 08/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053721894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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