| Pushmataha Counseling Services, Inc. | |
|
205 S Adair St Pryor OK 74361-5201 | |
| (918) 825-4872 | |
| Not Available |
| Full Name | Pushmataha Counseling Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 205 S Adair St, Pryor, Oklahoma |
| Authorized Official Name and Position | Garry Wayne Russell (PRESIDENT/CEO) |
| Authorized Official Contact | 9188254872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pushmataha Counseling Services, Inc. 205 S Adair St Pryor OK 74361-5201 Ph: (918) 825-4872 | Pushmataha Counseling Services, Inc. 205 S Adair St Pryor OK 74361-5201 Ph: (918) 825-4872 |
| NPI Number | 1508065970 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 07/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508065970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 251S00000X (Oklahoma) | Primary |
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Pushmataha Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S Adair St, Pryor, OK 74361 Phone: 918-825-4872 Fax: 918-825-4873 |