| Danella Denise Johnson, BSBA/BSBM | |
|
8422 N 123rd East Ave, Owasso, OK 74055-2130 | |
| (918) 858-4353 | |
| Not Available |
| Full Name | Danella Denise Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 8422 N 123rd East Ave, Owasso, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922547108 | NPI | - | NPPES |
| 101YM0800X | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| 171M00000X | Case Manager/care Coordinator | (Oklahoma) | Secondary |
| 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 |
|---|---|
| Danella Denise Johnson, BSBA/BSBM 8422 N 123rd East Ave, Owasso, OK 74055-2130 Ph: (918) 858-4353 | Danella Denise Johnson, BSBA/BSBM 8422 N 123rd East Ave, Owasso, OK 74055-2130 Ph: (918) 858-4353 |
Susan Renee Terhune, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10577 N 121st East Ave, Owasso, OK 74055 Phone: 918-859-6622 |
James Schnorrenberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10100 N Garnett Rd, Owasso, OK 74055 Phone: 918-289-5614 |
Ms. Teresa Gail Doss Stewart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8959 N 133rd East Ave, Owasso, OK 74055 Phone: 918-625-8655 |
Ms. Barbara Roberts Bold, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9017 N 100th East Ave, Owasso, OK 74055 Phone: 918-272-1413 |
Nandee Walker, NCC, LPC-S, RPT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 10310 N 138th East Ave Ste 104, Owasso, OK 74055 Phone: 918-408-6893 |
Jenifer Nold, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10310 N 138th East Ave Ste 101, Owasso, OK 74055 Phone: 539-210-3847 |
Mary Thomas, Counselor Medicare: May Accept Medicare Assignments Practice Location: 9800 N 100th East Ave, Owasso, OK 74055 Phone: 918-609-3006 |