Phoenix Rising Counseling Services | |
85486 S 4612 Rd Stilwell OK 74960-9323 | |
(918) 708-2410 | |
Not Available |
Full Name | Phoenix Rising Counseling Services |
---|---|
Speciality | Social Worker - Clinical |
Location | 85486 S 4612 Rd, Stilwell, Oklahoma |
Authorized Official Name and Position | Rachel E Hoawrd (COO) |
Authorized Official Contact | 9187082410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phoenix Rising Counseling Services 85486 S 4612 Rd Stilwell OK 74960-9323 Ph: (918) 708-2410 | Phoenix Rising Counseling Services 85486 S 4612 Rd Stilwell OK 74960-9323 Ph: (918) 708-2410 |
NPI Number | 1831795459 |
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Provider Enumeration Date | 12/09/2020 |
Last Update Date | 12/09/2020 |
Certification Date | 12/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831795459 | NPI | - | NPPES |
200376340A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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