| Sallisaw Mental Health Llc | |
|
204 E Choctaw Ave Sallisaw OK 74955-4604 | |
| (918) 289-0201 | |
| Not Available |
| Full Name | Sallisaw Mental Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 204 E Choctaw Ave, Sallisaw, Oklahoma |
| Authorized Official Name and Position | Shaunna Funston (MANAGER) |
| Authorized Official Contact | 9182890102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sallisaw Mental Health Llc 7302 S Yale Ave Tulsa OK 74136-7027 Ph: (918) 289-0102 | Sallisaw Mental Health Llc 204 E Choctaw Ave Sallisaw OK 74955-4604 Ph: (918) 289-0201 |
| NPI Number | 1528614377 |
|---|---|
| Provider Enumeration Date | 08/16/2019 |
| Last Update Date | 08/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528614377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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