| Chrystal Brassfield, MS | |
|
405 E Excelsior Ave, Vinita, OK 74301-4226 | |
| (918) 256-6476 | |
| (918) 256-3628 |
| Full Name | Chrystal Brassfield |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 405 E Excelsior Ave, Vinita, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043592132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Sydlyfe Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154669828 PECOS PAC ID: 8921349838 Enrollment ID: O20190402002092 |
| Mailing Address | Practice Location Address |
|---|---|
| Chrystal Brassfield, MS 405 E Excelsior Ave, Vinita, OK 74301-4226 Ph: (918) 256-6476 | Chrystal Brassfield, MS 405 E Excelsior Ave, Vinita, OK 74301-4226 Ph: (918) 256-6476 |
Anthony Goodell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Melanie K Phillips, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 East Excelsior, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Dorsey Ramsey, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 East Excelsior, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Betty F Showler, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22253 S 4370 Rd, Vinita, OK 74301 Phone: 918-244-6416 | |
Jonathan Brodrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Excelsior Ave, Vinita, OK 74301 Phone: 918-256-6476 Fax: 918-256-3628 | |
Dr. Deborah M. Payton, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 442606 E. 250 Rd, Vinita, OK 74301 Phone: 918-256-3392 Fax: 918-256-6859 |