| Primary Therapeutic Services, Llc | |
|
3140 W Britton Rd Ste 201 Oklahoma City OK 73120 | |
| (405) 607-6292 | |
| (405) 607-6307 |
| Full Name | Primary Therapeutic Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3140 W Britton Rd Ste 201, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Channing Lee Chamberlain (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4054135121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Therapeutic Services, Llc 3140 W Britton Rd Ste 201 Oklahoma City OK 73120-2039 Ph: (405) 607-6292 | Primary Therapeutic Services, Llc 3140 W Britton Rd Ste 201 Oklahoma City OK 73120 Ph: (405) 607-6292 |
| NPI Number | 1770929960 |
|---|---|
| Provider Enumeration Date | 05/15/2013 |
| Last Update Date | 09/04/2018 |
| Medicare PECOS PAC ID | 6709219678 |
|---|---|
| Medicare Enrollment ID | O20191206000974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770929960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6005 (Oklahoma) | Primary |
| Provider Name | Karyll V Scott Honeycutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134628076 PECOS PAC ID: 2961835830 Enrollment ID: I20191206001041 |
| Provider Name | Ashley M Drees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346617354 PECOS PAC ID: 0941633812 Enrollment ID: I20191206001099 |
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