| Red Road Counseling Llc | |
|
1004 Choctaw Ridge Rd Midwest City OK 73130-6127 | |
| (405) 990-0816 | |
| Not Available |
| Full Name | Red Road Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1004 Choctaw Ridge Rd, Midwest City, Oklahoma |
| Authorized Official Name and Position | Melissa Lynn Hughes (VICE-PRESIDENT) |
| Authorized Official Contact | 4059900816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Road Counseling Llc 1004 Choctaw Ridge Rd Midwest City OK 73130-6127 Ph: (405) 990-0816 | Red Road Counseling Llc 1004 Choctaw Ridge Rd Midwest City OK 73130-6127 Ph: (405) 990-0816 |
| NPI Number | 1790112647 |
|---|---|
| Provider Enumeration Date | 10/08/2013 |
| Last Update Date | 10/08/2013 |
| Medicare PECOS PAC ID | 6103264841 |
|---|---|
| Medicare Enrollment ID | O20240817000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790112647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Roberta Sue Reimer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891013850 PECOS PAC ID: 7416300058 Enrollment ID: I20240130002527 |
| Provider Name | Britane Outlaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366751901 PECOS PAC ID: 4385089697 Enrollment ID: I20240327003584 |
| Provider Name | Ray E Gibson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093841116 PECOS PAC ID: 9032650593 Enrollment ID: I20240924002800 |
| Provider Name | Joseph Bennett Weichbrodt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679890420 PECOS PAC ID: 0648701565 Enrollment ID: I20241002004260 |
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