| Mrs Debra Conley, MA, LPC | |
|
112 W Main St, Purcell, OK 73080-4220 | |
| (405) 527-1785 | |
| (405) 527-1084 |
| Full Name | Mrs Debra Conley |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 112 W Main St, Purcell, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437192416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3389 (Oklahoma) | Primary |
| Entity Name | Restore Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083163083 PECOS PAC ID: 8628512647 Enrollment ID: O20240702000951 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Debra Conley, MA, LPC Po Box 662, Purcell, OK 73080-0662 Ph: (405) 527-1785 | Mrs Debra Conley, MA, LPC 112 W Main St, Purcell, OK 73080-4220 Ph: (405) 527-1785 |
Mrs. Desa Lynn Smith, MSPS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 W Main St, Purcell, OK 73080 Phone: 405-527-1785 | |
Melissa Thomason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 W Lincoln St, Purcell, OK 73080 Phone: 405-620-3269 | |
Philip Bivens, MS, LPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 W Main St, Purcell, OK 73080 Phone: 405-527-1785 | |
Mr. John Scott Conrad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 W Main St, Purcell, OK 73080 Phone: 405-527-1785 | |
Tracy Brewer, MSED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 W Main St, Purcell, OK 73080 Phone: 405-527-1785 | |
Mallory Whitney, LPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 W Main St, Purcell, OK 73080 Phone: 405-527-1785 | |
Lura Ann Howell-white, L.B.P. Counselor Medicare: Not Enrolled in Medicare Practice Location: 519 W Delaware St, Purcell, OK 73080 Phone: 405-527-8380 Fax: 405-527-4549 |