| Renegade Counseling, Pllc | |
|
809-b South Birch Street Muldrow OK 74948 | |
| (918) 427-3944 | |
| Not Available |
| Full Name | Renegade Counseling, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 809-b South Birch Street, Muldrow, Oklahoma |
| Authorized Official Name and Position | Robby Gene Plymale (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9184273944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renegade Counseling, Pllc Po Box 262 Muldrow OK 74948-0262 Ph: (918) 427-3944 | Renegade Counseling, Pllc 809-b South Birch Street Muldrow OK 74948 Ph: (918) 427-3944 |
| NPI Number | 1902285877 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902285877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5354 (Oklahoma) | Primary |
Mental Wellness Centers Of Oklahoma Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 475396 E 1054 Rd, Muldrow, OK 74948 Phone: 888-692-6590 |