| Mrs Gwynette Maria Chaney, MS MED, LPC | |
|
124 E 6th St, Pawhuska, OK 74056-4204 | |
| (918) 604-6054 | |
| (918) 777-9018 |
| Full Name | Mrs Gwynette Maria Chaney |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 124 E 6th St, Pawhuska, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366565905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6487 (Oklahoma) | Primary |
| Entity Name | Sydlyfe Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154669828 PECOS PAC ID: 8921349838 Enrollment ID: O20190402002092 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Gwynette Maria Chaney, MS MED, LPC 124 E 6th St, Pawhuska, OK 74056-4204 Ph: (918) 604-6054 | Mrs Gwynette Maria Chaney, MS MED, LPC 124 E 6th St, Pawhuska, OK 74056-4204 Ph: (918) 604-6054 |
Gabriele Dawn Barrone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 473 Elks Lodge Rd, Pawhuska, OK 74056 Phone: 539-212-2499 | |
Amanda J Howerton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1616 Mckenzie, Pawhuska, OK 74056 Phone: 918-287-2881 | |
Victoria Parker, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 473 Elks Lodge Road, Pawhuska, OK 74056 Phone: 405-528-7721 | |
Mr. Jon S Polen, M.S. , LPC Counselor Medicare: Medicare Enrolled Practice Location: 606 Kihekah Ave, Pawhuska, OK 74056 Phone: 918-287-5426 | |
Mr. Louis G Gray I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Grandview, Pawhuska, OK 74056 Phone: 918-287-5415 | |
Ashley Slead, LPC-CANDIDATE Counselor Medicare: Medicare Enrolled Practice Location: 1228 Pecan, Pawhuska, OK 74056 Phone: 844-458-2100 |