| Positive Outcomes Therapeutic Services, Llc | |
|
2500 Boardwalk Ste 210 Norman OK 73069-6593 | |
| (405) 857-8357 | |
| (405) 857-1678 |
| Full Name | Positive Outcomes Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2500 Boardwalk Ste 210, Norman, Oklahoma |
| Authorized Official Name and Position | Dwain Anthony Pellebon (OWNER) |
| Authorized Official Contact | 4052558503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Outcomes Therapeutic Services, Llc 2227 Iowa St Norman OK 73069-6520 Ph: (405) 255-8503 | Positive Outcomes Therapeutic Services, Llc 2500 Boardwalk Ste 210 Norman OK 73069-6593 Ph: (405) 857-8357 |
| NPI Number | 1861966814 |
|---|---|
| Provider Enumeration Date | 01/13/2019 |
| Last Update Date | 07/07/2020 |
| Certification Date | 07/07/2020 |
| Medicare PECOS PAC ID | 0941622799 |
|---|---|
| Medicare Enrollment ID | O20200624000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861966814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dwain A Pellebon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720400351 PECOS PAC ID: 8729400585 Enrollment ID: I20200624000992 |
J Carrick Carter Psyd Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 24th Ave Nw, Ste 100, Norman, OK 73069 Phone: 405-801-2840 Fax: 405-310-4520 | |
Maranda Greenfield, Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1809 Oakmeadows Dr, Norman, OK 73071 Phone: 405-863-1194 | |
Debra Petry Smith, M.a., Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Mcgee Dr Ste 108, Norman, OK 73072 Phone: 918-894-2745 | |
Crossroads Youth And Family Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 W Tecumseh Rd, 500, Norman, OK 73069 Phone: 405-321-0240 | |
Micheline Witjenburg Psyd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 W Main St, Suite 102, Norman, OK 73069 Phone: 405-292-1000 Fax: 405-310-4052 | |
Family Wellness Center Of Norman Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2760 Washington Dr Ste 110, Norman, OK 73069 Phone: 405-360-2827 Fax: 405-283-1124 | |
Spectrum My Way Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3351 Santa Rosa Ct, Norman, OK 73071 Phone: 405-204-2065 |