| Behavioral Health Services Of Green Country | |
|
463 Sw 579 Loop Bldg B Chouteau OK 74337-2885 | |
| (918) 476-0501 | |
| Not Available |
| Full Name | Behavioral Health Services Of Green Country |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 463 Sw 579 Loop Bldg B, Chouteau, Oklahoma |
| Authorized Official Name and Position | Lance Dickison (OWNER) |
| Authorized Official Contact | 9184760501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Services Of Green Country 463 Sw 579 Loop Bldg B Chouteau OK 74337-2885 Ph: (918) 476-0501 | Behavioral Health Services Of Green Country 463 Sw 579 Loop Bldg B Chouteau OK 74337-2885 Ph: (918) 476-0501 |
| NPI Number | 1598060675 |
|---|---|
| Provider Enumeration Date | 01/20/2011 |
| Last Update Date | 01/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598060675 | NPI | - | NPPES |
| 200315410A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3005 (Oklahoma) | Primary |
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