| Chauncey Murch Llc | |
|
1626 Chautauqua Ave Norman OK 73072-6343 | |
| (918) 212-6333 | |
| Not Available |
| Full Name | Chauncey Murch Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1626 Chautauqua Ave, Norman, Oklahoma |
| Authorized Official Name and Position | Chauncey Michael Murch (CEO) |
| Authorized Official Contact | 9182126333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chauncey Murch Llc 1626 Chautauqua Ave Norman OK 73072-6343 Ph: (918) 212-6333 | Chauncey Murch Llc 1626 Chautauqua Ave Norman OK 73072-6343 Ph: (918) 212-6333 |
| NPI Number | 1699300558 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 08/18/2020 |
| Certification Date | 08/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699300558 | NPI | - | NPPES |
| 200898110A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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