| Riverbend Counseling Services, Llc | |
|
622 Bryan Dr Durant OK 74701-3462 | |
| (580) 920-0909 | |
| (580) 931-3119 |
| Full Name | Riverbend Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 622 Bryan Dr, Durant, Oklahoma |
| Authorized Official Name and Position | Melanie D Henry (OWNER/CEO) |
| Authorized Official Contact | 5809200909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverbend Counseling Services, Llc 622 Bryan Dr Durant OK 74701-3462 Ph: (580) 920-0909 | Riverbend Counseling Services, Llc 622 Bryan Dr Durant OK 74701-3462 Ph: (580) 920-0909 |
| NPI Number | 1679821912 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Medicare PECOS PAC ID | 3274813647 |
|---|---|
| Medicare Enrollment ID | O20161201001758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679821912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Andrea D Holley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679796189 PECOS PAC ID: 0143525352 Enrollment ID: I20160225002660 |
| Provider Name | Shauna Fay Mccarter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356890552 PECOS PAC ID: 9133593320 Enrollment ID: I20230330001674 |
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