| Miss Phyllis Jean Edwards, LPC | |
|
804 S. Chocktaw Ave., Chickasha, OK 73018 | |
| (405) 222-0622 | |
| (405) 224-9532 |
| Full Name | Miss Phyllis Jean Edwards |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 804 S. Chocktaw Ave., Chickasha, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659381812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3600 (Oklahoma) | Primary |
| Entity Name | Lighthouse Behavioral Wellness Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518997097 PECOS PAC ID: 6406748961 Enrollment ID: O20040329000653 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Phyllis Jean Edwards, LPC 804 S. Chocktaw, Chickasha, OK 73018 Ph: (405) 222-0622 | Miss Phyllis Jean Edwards, LPC 804 S. Chocktaw Ave., Chickasha, OK 73018 Ph: (405) 222-0622 |
Mr. Kelly S. Wray, LADC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 W Choctaw Ave, Chickasha, OK 73018 Phone: 405-424-7711 | |
Dennis Lee Murphy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 W Choctaw Ave, Chickasha, OK 73018 Phone: 405-222-0622 Fax: 405-224-9532 | |
Stephanie A Belle, Counselor Medicare: Medicare Enrolled Practice Location: 198 E Almar Dr, Chickasha, OK 73018 Phone: 405-222-5437 Fax: 405-222-5441 | |
Rachel R Nightingale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 S 7th St, Chickasha, OK 73018 Phone: 405-222-4786 | |
Robyn M Williams, M.S., LPC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 S 4th St, Chickasha, OK 73018 Phone: 405-763-7117 Fax: 405-448-5050 | |
Mrs. Deasha K Hire, Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 W Choctaw Ave, Chickasha, OK 73018 Phone: 405-425-0372 | |
Bethanie Chaney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 W Choctaw Ave, Chickasha, OK 73018 Phone: 405-222-0622 |