| Marvin Eugene Smith, | |
|
425 Nw 7th St, Oklahoma City, OK 73102 | |
| (405) 230-1148 | |
| Not Available |
| Full Name | Marvin Eugene Smith |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 425 Nw 7th St, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902018823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Entity Name | Absentee Shawnee Tribal Health Authority, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942253521 PECOS PAC ID: 5799171088 Enrollment ID: O20220414000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin Eugene Smith, 10611 Tumilty Ave, None, Midwest City, OK 73130-2227 Ph: (405) 769-9204 | Marvin Eugene Smith, 425 Nw 7th St, Oklahoma City, OK 73102 Ph: (405) 230-1148 |
Shannon Wattie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 United Founders Blvd Ste 239, Oklahoma City, OK 73112 Phone: 405-840-7040 | |
Ms. Judy L. Lindstrom, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 N Hudson Ave, Oklahoma City, OK 73103 Phone: 405-272-0660 | |
Carrolyn H Salvatierra, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 N Hudson Ave, Room 216, Oklahoma City, OK 73103 Phone: 405-272-0660 Fax: 405-272-1596 | |
Valerie Denise Mosley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4400 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-425-0341 Fax: 405-425-0313 | |
Mrs. Catherine Blakely Turpin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6801 S Western Ave Ste 203, Oklahoma City, OK 73139 Phone: 405-601-5616 | |
Cheryl Ann Coy, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3625 Eastman Dr, Oklahoma City, OK 73112 Phone: 405-948-0345 | |
Tiffany Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Nw 10th St, Oklahoma City, OK 73106 Phone: 405-528-4673 Fax: 405-528-4674 |