Nicholas Sinar Crisp, | |
111 S Treaty Rd, Miami, OK 74354-5327 | |
(405) 610-3644 | |
(918) 542-7374 |
Full Name | Nicholas Sinar Crisp |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 111 S Treaty Rd, Miami, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427578186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Improving Lives Counseling Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487967444 PECOS PAC ID: 3870818230 Enrollment ID: O20150206001731 |
Entity Name | Total Life Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053909267 PECOS PAC ID: 8123433034 Enrollment ID: O20230125003168 |
Mailing Address | Practice Location Address |
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Nicholas Sinar Crisp, 111 S Treaty Rd, Miami, OK 74354-5327 Ph: (405) 610-3644 | Nicholas Sinar Crisp, 111 S Treaty Rd, Miami, OK 74354-5327 Ph: (405) 610-3644 |
Mrs. Katherine Renee Burke, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 S. Treaty Rd., Miami, OK 74354 Phone: 918-540-1511 Fax: 918-542-7374 | |
Phillip Horn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Treaty Rd, Miami, OK 74354 Phone: 918-540-1511 Fax: 918-542-7374 | |
Racheal Fisher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W Steve Owens Blvd, Miami, OK 74354 Phone: 918-542-2845 | |
Isabella Gail Burrell, LPC, NCGC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1519 E Steve Owens Boulevard, Miami, OK 74354 Phone: 918-576-3050 | |
John Klenke, LPC-C Counselor Medicare: Medicare Enrolled Practice Location: 111 S Treaty Rd, Miami, OK 74354 Phone: 918-592-8614 | |
Jennifer Shobe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Treaty Rd, Miami, OK 74354 Phone: 918-540-1511 Fax: 918-542-7374 | |
Eric Goodpaster, TEACHING CERTIFICATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W Steve Owens Blvd, Miami, OK 74354 Phone: 918-542-2845 |