| Whitney Louise Moore, | |
|
901 S Bryant Ave, Edmond, OK 73034-5764 | |
| (405) 858-1370 | |
| Not Available |
| Full Name | Whitney Louise Moore |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 901 S Bryant Ave, Edmond, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740808062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Variety Care, Inc. | 1557260007 | 101 |
| Entity Name | Variety Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780697813 PECOS PAC ID: 1557260007 Enrollment ID: O20040105000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Whitney Louise Moore, 3000 N Grand Blvd, Oklahoma City, OK 73107-1818 Ph: (405) 858-2700 | Whitney Louise Moore, 901 S Bryant Ave, Edmond, OK 73034-5764 Ph: (405) 858-1370 |
Mr. Dan J Archer, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2801 E Memorial Rd Ste 102, Edmond, OK 73013 Phone: 405-760-0242 |
Anthony Adigwe, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Old Bugle Rd, Edmond, OK 73003 Phone: 405-340-5952 Fax: 405-302-2523 |
Ms. Tiffany Joann Berry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 713 Nw 138th St, Edmond, OK 73013 Phone: 405-819-9599 |
Dr. Tonica Wicker, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5018 Pheasant Crest Rd, Edmond, OK 73034 Phone: 808-292-4919 |
Starita Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 W 15th St Apt 39, Edmond, OK 73013 Phone: 405-889-5782 |
Mrs. Angela Schenck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 Martina Ln, Edmond, OK 73034 Phone: 405-642-7502 |
Lisa Grossenbacher, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1603 E 19th St Ste 105, Edmond, OK 73013 Phone: 405-568-1950 |