| Laquava Johnson, LPC | |
|
6425 Nw Cache Rd Ste 214, Lawton, OK 73505-3393 | |
| (580) 647-0861 | |
| Not Available |
| Full Name | Laquava Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 6425 Nw Cache Rd Ste 214, 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 |
|---|---|---|---|
| 1013492859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 11603 (Oklahoma) | 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 |
|---|---|
| Laquava Johnson, LPC 6816 Nw Faircloud Dr, Lawton, OK 73505-1280 Ph: () - | Laquava Johnson, LPC 6425 Nw Cache Rd Ste 214, Lawton, OK 73505-3393 Ph: (580) 647-0861 |
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 | |
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 Brokaw, MS, LMFT CAND Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 Ne 20th St, Lawton, OK 73507 Phone: 580-919-7948 |