| Aware | |
|
35049 E 120-5 Earlsboro OK 74840-8600 | |
| (405) 820-1533 | |
| Not Available |
| Full Name | Aware |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 35049 E 120-5, Earlsboro, Oklahoma |
| Authorized Official Name and Position | Glenda Barrett (ADMINISTRATOR) |
| Authorized Official Contact | 4058201533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aware 35049 E 120-5 Earlsboro OK 74840-8600 Ph: (405) 820-1533 | Aware 35049 E 120-5 Earlsboro OK 74840-8600 Ph: (405) 820-1533 |
| NPI Number | 1033493499 |
|---|---|
| Provider Enumeration Date | 10/04/2011 |
| Last Update Date | 10/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033493499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Tedder Therapy Practice, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18800 Valley View Rd, Earlsboro, OK 74840 Phone: 405-410-5481 |