| Mindy Fancher, | |
|
612 E Jackson St, Hugo, OK 74743-4025 | |
| (580) 326-2200 | |
| (580) 326-2201 |
| Full Name | Mindy Fancher |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 612 E Jackson St, Hugo, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295085033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Community Pathways Unlimited Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659328284 PECOS PAC ID: 6608776349 Enrollment ID: O20040109001005 |
| Mailing Address | Practice Location Address |
|---|---|
| Mindy Fancher, Po Box 61, Hugo, OK 74743-0061 Ph: (580) 326-2200 | Mindy Fancher, 612 E Jackson St, Hugo, OK 74743-4025 Ph: (580) 326-2200 |
Ms. Roberta Lee Armstrong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 612 E Jackson St, Hugo, OK 74743 Phone: 580-326-2200 Fax: 580-326-2221 | |
Mrs. Patricia Irene Wallace, LPC,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 N 4th St, Hugo, OK 74743 Phone: 580-326-7531 Fax: 580-326-2377 | |
Mr. Don G. Loman, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 E Main St, Hugo, OK 74743 Phone: 580-326-7477 Fax: 580-326-6400 | |
Jordan Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N 5th St, Hugo, OK 74743 Phone: 580-326-9475 Fax: 580-326-9028 | |
Elizabeth Pierce, Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 N 4240 Rd, Hugo, OK 74743 Phone: 580-372-7430 | |
Ms. Heather Sarese Dill, BA IN PSYCHOLOGY Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 E Jefferson St, Hugo, OK 74743 Phone: 580-326-7862 | |
Diana Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 1/2 W Jackson St, Hugo, OK 74743 Phone: 580-326-9475 |