| Bethany Nicole Davis, MSBS, LMFT-CANDIDATE | |
|
602 Sw 38th St, Lawton, OK 73505-6912 | |
| (580) 248-5780 | |
| Not Available |
| Full Name | Bethany Nicole Davis |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 602 Sw 38th St, Lawton, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326796707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (Oklahoma) | Primary |
| Entity Name | State Of Oklahoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588755532 PECOS PAC ID: 4486558962 Enrollment ID: O20031125000846 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Nicole Davis, MSBS, LMFT-CANDIDATE 283 Ne Creekside Dr, Elgin, OK 73538-5021 Ph: (270) 307-4698 | Bethany Nicole Davis, MSBS, LMFT-CANDIDATE 602 Sw 38th St, Lawton, OK 73505-6912 Ph: (580) 248-5780 |
Mr. Juan Martinez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 602 Sw 38th St, Lawton, OK 73505 Phone: 580-248-5780 | |
Mrs. Manuela Wikinger-henry, MS,MHP,LMFT UNDER SU Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4645 W Gore Blvd, Suite 5, Lawton, OK 73505 Phone: 580-355-6800 | |
Prudunce Nechelle Watson, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 602 Sw 38th St, Lawton, OK 73505 Phone: 580-248-5780 | |
Tommy Bailey, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2215 Nw Cache Rd Ste 107, Lawton, OK 73505 Phone: 580-351-9998 Fax: 580-351-9898 | |
Katy Kinder, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 19 Ne 20th St, Lawton, OK 73507 Phone: 580-232-3182 | |
Kahealani Dingle, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6952 Sw Forest Ave, Lawton, OK 73505 Phone: 580-284-8661 | |
Lauren Cali Adkinson, MSBS, LMFT CANDIDATE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 19 Ne 20th St, Lawton, OK 73507 Phone: 580-246-2456 |