| Sui Generis Counseling And Life Care Services, Pllc | |
|
8304 S Kalanchoe Ave Broken Arrow OK 74011-7808 | |
| (918) 417-6087 | |
| Not Available |
| Full Name | Sui Generis Counseling And Life Care Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 8304 S Kalanchoe Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Darlene A Dennis (BUSINESS OWNER/COUSELOR) |
| Authorized Official Contact | 9184021868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sui Generis Counseling And Life Care Services, Pllc 832 W. Jasper Street Suite B Broken Arrow OK 74011-8297 Ph: (918) 402-1868 | Sui Generis Counseling And Life Care Services, Pllc 8304 S Kalanchoe Ave Broken Arrow OK 74011-7808 Ph: (918) 417-6087 |
| NPI Number | 1770065930 |
|---|---|
| Provider Enumeration Date | 09/05/2018 |
| Last Update Date | 12/03/2018 |
| Medicare PECOS PAC ID | 8123362878 |
|---|---|
| Medicare Enrollment ID | O20181206000968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770065930 | NPI | - | NPPES |
| Provider Name | Darlene A. Dennis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407081110 PECOS PAC ID: 9032453782 Enrollment ID: I20181206001118 |
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