| Christian Clinic For Counseling Of Edmond's First Baptist Church, Inc. | |
|
1300 E 33rd St # B1 Edmond OK 73013-6305 | |
| (405) 942-8888 | |
| (405) 407-2012 |
| Full Name | Christian Clinic For Counseling Of Edmond's First Baptist Church, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1300 E 33rd St # B1, Edmond, Oklahoma |
| Authorized Official Name and Position | Laura Piatt (MANAGING DIRECTOR) |
| Authorized Official Contact | 4059428888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Clinic For Counseling Of Edmond's First Baptist Church, Inc. 1300 E 33rd St # B1 Edmond OK 73013-6305 Ph: (405) 942-8888 | Christian Clinic For Counseling Of Edmond's First Baptist Church, Inc. 1300 E 33rd St # B1 Edmond OK 73013-6305 Ph: (405) 942-8888 |
| NPI Number | 1114497153 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Medicare PECOS PAC ID | 3678802220 |
|---|---|
| Medicare Enrollment ID | O20190909000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114497153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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