| Quest Mhsa | |
|
307 Sw B St Antlers OK 74523-3824 | |
| (580) 326-8605 | |
| (580) 298-5357 |
| Full Name | Quest Mhsa |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 307 Sw B St, Antlers, Oklahoma |
| Authorized Official Name and Position | Marla Marcum (OWNER) |
| Authorized Official Contact | 5802983001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quest Mhsa Po Box 309 Antlers OK 74523-0309 Ph: (580) 298-3001 | Quest Mhsa 307 Sw B St Antlers OK 74523-3824 Ph: (580) 326-8605 |
| NPI Number | 1174776819 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 4688943657 |
|---|---|
| Medicare Enrollment ID | O20170927004331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174776819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Sheri Lyn Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528090636 PECOS PAC ID: 1153454046 Enrollment ID: I20100728001258 |
| Provider Name | Katherine M Luna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467716209 PECOS PAC ID: 6800144031 Enrollment ID: I20180806000434 |
| Provider Name | Jordan Bracht |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861916249 PECOS PAC ID: 9739517608 Enrollment ID: I20200309001110 |
| Provider Name | Angela Ashton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932408333 PECOS PAC ID: 7113337445 Enrollment ID: I20201207000369 |
| Provider Name | Debbie Elaine Ezenwa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053342097 PECOS PAC ID: 5193173110 Enrollment ID: I20231130002291 |
| Provider Name | Ladonna D Harden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780966739 PECOS PAC ID: 3678923596 Enrollment ID: I20231219000925 |
| Provider Name | Michelle Renee Barron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710009667 PECOS PAC ID: 2668822883 Enrollment ID: I20231229000559 |
| Provider Name | Tammy Lea Watts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164741021 PECOS PAC ID: 1850741927 Enrollment ID: I20240102002422 |
| Provider Name | Odete Carneiro Phares |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245504430 PECOS PAC ID: 2365893237 Enrollment ID: I20240105000437 |
| Provider Name | Valerie J Stark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144551722 PECOS PAC ID: 0042662546 Enrollment ID: I20240119004012 |
| Provider Name | Ricky L Huggins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063773414 PECOS PAC ID: 5698127009 Enrollment ID: I20240122003516 |
| Provider Name | Keely Kelley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538740451 PECOS PAC ID: 9537512702 Enrollment ID: I20240124003600 |
| Provider Name | Deborah J Morey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659381655 PECOS PAC ID: 0648623371 Enrollment ID: I20240130001873 |
| Provider Name | Kathy L Pendergraft |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083055933 PECOS PAC ID: 1557714169 Enrollment ID: I20240131001162 |
| Provider Name | Rachel Callicoat |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235687096 PECOS PAC ID: 3971948704 Enrollment ID: I20240301003062 |
| Provider Name | Wanda A Blackwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740350396 PECOS PAC ID: 0143667519 Enrollment ID: I20240320003278 |
| Provider Name | Andrea Boston |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316380371 PECOS PAC ID: 0345688727 Enrollment ID: I20240404000381 |
| Provider Name | Jennifer Rose Broyles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720351273 PECOS PAC ID: 6103265798 Enrollment ID: I20240416000604 |
| Provider Name | Amanda Bourne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881026060 PECOS PAC ID: 0345689980 Enrollment ID: I20240416002773 |
| Provider Name | Kailee A Doyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235431727 PECOS PAC ID: 1759720188 Enrollment ID: I20240418002332 |
| Provider Name | Chasity Burke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013461805 PECOS PAC ID: 5597104869 Enrollment ID: I20240419000023 |
| Provider Name | Amy Winfree |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760719157 PECOS PAC ID: 7416396650 Enrollment ID: I20240419002457 |
| Provider Name | Eileen Michele Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528212990 PECOS PAC ID: 0749629913 Enrollment ID: I20240419003445 |
| Provider Name | Misty Dawn Watkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316300429 PECOS PAC ID: 0547609521 Enrollment ID: I20240424000636 |
| Provider Name | Angela Sheri French |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669762142 PECOS PAC ID: 8921448648 Enrollment ID: I20240429002361 |
| Provider Name | Dawn Dannette Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013168871 PECOS PAC ID: 6103268149 Enrollment ID: I20240522003418 |
| Provider Name | Patricia E Dileo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689971723 PECOS PAC ID: 8426490756 Enrollment ID: I20240531001130 |
Counseling Center Of Se Oklahoma Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S High St, Antlers, OK 74523 Phone: 580-298-2830 Fax: 580-298-6723 | |
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