Starting Point Behavioral Health Services, Pllc | |
1428 Oklahoma Ave Woodward OK 73801-4457 | |
(580) 505-0465 | |
Not Available |
Full Name | Starting Point Behavioral Health Services, Pllc |
---|---|
Speciality | Counselor |
Location | 1428 Oklahoma Ave, Woodward, Oklahoma |
Authorized Official Name and Position | Darci Stephenson (OWNER) |
Authorized Official Contact | 5805050465 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Starting Point Behavioral Health Services, Pllc 217779 E 750 Rd Camargo OK 73835-2044 Ph: (580) 505-0465 | Starting Point Behavioral Health Services, Pllc 1428 Oklahoma Ave Woodward OK 73801-4457 Ph: (580) 505-0465 |
NPI Number | 1679233795 |
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Provider Enumeration Date | 12/30/2021 |
Last Update Date | 12/30/2021 |
Certification Date | 12/30/2021 |
Medicare PECOS PAC ID | 0042650335 |
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Medicare Enrollment ID | O20240503000958 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679233795 | NPI | - | NPPES |
10440 | Other | OK | LPC LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Provider Name | Darci Stephenson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1386278471 PECOS PAC ID: 1951741248 Enrollment ID: I20240503001081 |
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