| Tisha Lyne Beshirs, LPC | |
|
21 N Main St, Kingston, OK 73439-6562 | |
| (580) 564-7885 | |
| (580) 564-7902 |
| Full Name | Tisha Lyne Beshirs |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 21 N Main St, Kingston, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922207570 | NPI | - | NPPES |
| 200364120A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Family Health Center Of Southern Oklahoma Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598803942 PECOS PAC ID: 4284537457 Enrollment ID: O20040127001108 |
| Entity Name | Cornerstone Counseling Service, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922353119 PECOS PAC ID: 5890042634 Enrollment ID: O20240102001814 |
| Mailing Address | Practice Location Address |
|---|---|
| Tisha Lyne Beshirs, LPC 610 E 24th St, Tishomingo, OK 73460-3245 Ph: (580) 387-0509 | Tisha Lyne Beshirs, LPC 21 N Main St, Kingston, OK 73439-6562 Ph: (580) 564-7885 |
Ryan Austin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717b Highway 70 E, Kingston, OK 73439 Phone: 580-564-7308 | |
Jason Dee Baker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717b Highway 70 E, Kingston, OK 73439 Phone: 580-565-2415 | |
Natalie L Foster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Highway 70 N, Kingston, OK 73439 Phone: 580-504-0104 | |
Lindsey Paige Joines, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 Highway 70 E Ste B, Kingston, OK 73439 Phone: 580-795-3794 | |
Elizabeth Caruso, B.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 717b Highway 70 E, Kingston, OK 73439 Phone: 508-564-7308 Fax: 580-564-7309 | |
Marie Morrison Bramlett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Ne 3rd St, Kingston, OK 73439 Phone: 580-564-2996 | |
Samantha Darlene Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4334 Back St, Kingston, OK 73439 Phone: 580-565-0371 |