| Alexie Foster, Llc | |
|
16802 S 301st West Ave Bristow OK 74010-2265 | |
| (918) 928-5772 | |
| Not Available |
| Full Name | Alexie Foster, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 16802 S 301st West Ave, Bristow, Oklahoma |
| Authorized Official Name and Position | Alexie Foster (THERAPIST) |
| Authorized Official Contact | 9189285772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexie Foster, Llc 16802 S 301st West Ave Bristow OK 74010-2265 Ph: () - | Alexie Foster, Llc 16802 S 301st West Ave Bristow OK 74010-2265 Ph: (918) 928-5772 |
| NPI Number | 1609488253 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 08/17/2020 |
| Certification Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609488253 | NPI | - | NPPES |
| 200417400A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Life's Journey Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 W 4th Ave, Bristow, OK 74010 Phone: 918-807-5070 Fax: 918-807-5071 |