| Michael Steven Backora, | |
| 
					401 W. Main St., Barnsdall, OK 74002-6631  | |
| (918) 604-6054 | |
| (918) 777-9018 | 
| Full Name | Michael Steven Backora | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Mental Health | 
| Location | 401 W. Main St., Barnsdall, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1831602507 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Entity Name | Family & Children's Services, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023122439 PECOS PAC ID: 9830170687 Enrollment ID: O20040527000124  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael Steven Backora, 401 W. Main St., Barnsdall, OK 74002-6631 Ph: (918) 604-6054  | Michael Steven Backora, 401 W. Main St., Barnsdall, OK 74002-6631 Ph: (918) 604-6054  | 
Ms. Shavonne Etolia Taylor, MHR LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 W Main St, Barnsdall, OK 74002 Phone: 918-289-0550 Fax: 918-289-0551  | |
Mrs. Jill Suzanne Sago, BA, MED, MHR Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 W. Main St., Barnsdall, OK 74002 Phone: 918-847-3527  | |
Misty Davis,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 W. Main St., Barnsdall, OK 74002 Phone: 918-847-3527 Fax: 918-777-9018  |