| Positively Psyched Counseling Services Llc | |
|
351 N Air Depot Blvd Ste J Midwest City OK 73110-1760 | |
| (405) 979-0431 | |
| (405) 400-2624 |
| Full Name | Positively Psyched Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 351 N Air Depot Blvd Ste J, Midwest City, Oklahoma |
| Authorized Official Name and Position | Elizabeth A Dubois (OWNER/THERAPIST) |
| Authorized Official Contact | 4059790431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positively Psyched Counseling Services Llc 351 N Air Depot Blvd Ste J Midwest City OK 73110-1760 Ph: (405) 979-0431 | Positively Psyched Counseling Services Llc 351 N Air Depot Blvd Ste J Midwest City OK 73110-1760 Ph: (405) 979-0431 |
| NPI Number | 1548021496 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Medicare PECOS PAC ID | 4385089325 |
|---|---|
| Medicare Enrollment ID | O20240229000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548021496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Ann Dubois |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326278581 PECOS PAC ID: 8820433865 Enrollment ID: I20240229000676 |
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