| Angie Myree Foris, BSW | |
|
628 E Creek Ave, Mcalester, OK 74501-6930 | |
| (918) 423-6030 | |
| (918) 423-2370 |
| Full Name | Angie Myree Foris |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 628 E Creek Ave, Mcalester, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285847624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 958 (Oklahoma) | Primary |
| Entity Name | State Of Oklahoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588755532 PECOS PAC ID: 4486558962 Enrollment ID: O20031125000846 |
| Mailing Address | Practice Location Address |
|---|---|
| Angie Myree Foris, BSW Po Box 179, Stigler, OK 74462-0179 Ph: (918) 967-3368 | Angie Myree Foris, BSW 628 E Creek Ave, Mcalester, OK 74501-6930 Ph: (918) 423-6030 |
Ms. Lisa Laverne Reich, MSHR, LPC, CM III Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 E Harrison Ave, Mcalester, OK 74501 Phone: 918-916-7932 | |
Miss Lindy Jo Riley, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 628 E Creek Ave, Mcalester, OK 74501 Phone: 918-421-3500 Fax: 918-423-2700 | |
Chasity Burke, MS, LPC CANDIDATE Counselor Medicare: Medicare Enrolled Practice Location: 104 E Carl Albert Pkwy, Mcalester, OK 74501 Phone: 918-423-0220 | |
Magan Garrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 E Monroe Ave, Mcalester, OK 74501 Phone: 918-426-7800 | |
Mrs. Amy Jean Hearod Kline, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 E Monroe Ave, Mcalester, OK 74501 Phone: 918-426-7800 Fax: 918-426-5526 | |
Zella Kincaid, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 E Monroe Ave, Mcalester, OK 74501 Phone: 918-426-7800 | |
Jordan Blankenship, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 E Monroe Ave, Mcalester, OK 74501 Phone: 918-426-7800 |