| Deborah Wade, | |
|
222 Ne 46th St, Lawton, OK 73507-7309 | |
| (580) 695-2959 | |
| Not Available |
| Full Name | Deborah Wade |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 222 Ne 46th St, Lawton, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689097727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Our House Mhsa Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790144160 PECOS PAC ID: 8628428455 Enrollment ID: O20240513003509 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Wade, 222 Ne 46th St, Lawton, OK 73507-7309 Ph: (580) 695-2959 | Deborah Wade, 222 Ne 46th St, Lawton, OK 73507-7309 Ph: (580) 695-2959 |
Sallie Jane Dominey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Sw D Ave, Suite 5, Lawton, OK 73501 Phone: 580-250-1222 Fax: 580-250-1795 |
Iesha Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 Sw 38th St, Lawton, OK 73505 Phone: 580-248-5780 |
Lametrice Oglesby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 Sw 38th St, Lawton, OK 73505 Phone: 580-248-5780 |
Vernita Jones-cross, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Nw Morrocco Rd, Lawton, OK 73505 Phone: 580-284-6904 |
Mrs. Vickie Moots, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Nw 56th St, Lawton, OK 73505 Phone: 580-357-6859 |
Mrs. Robin Wilson Tharrington, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Sw B Ave, Lawton, OK 73501 Phone: 580-583-2493 |
Monica Whitely, MS, LMFT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1709 W Gore Blvd Ste B, Lawton, OK 73501 Phone: 580-447-5900 |