| Vicky E Hampton | |
|
1401 Nw 150th St Ste A Edmond OK 73013-2169 | |
| (405) 777-9459 | |
| Not Available |
| Full Name | Vicky E Hampton |
|---|---|
| Speciality | Counselor |
| Location | 1401 Nw 150th St Ste A, Edmond, Oklahoma |
| Authorized Official Name and Position | Vicky E Hampton (OWNER/OPERATOR) |
| Authorized Official Contact | 4057779459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicky E Hampton 1401 Nw 150th St Ste A Edmond OK 73013-2169 Ph: (405) 777-9459 | Vicky E Hampton 1401 Nw 150th St Ste A Edmond OK 73013-2169 Ph: (405) 777-9459 |
| NPI Number | 1295574093 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Medicare PECOS PAC ID | 4880137918 |
|---|---|
| Medicare Enrollment ID | O20240618001752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295574093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Vicky E Hampton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629300439 PECOS PAC ID: 9739317033 Enrollment ID: I20240618002600 |
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