| Four Seasons Counseling Services, Inc. | |
|
100 N 5th St Hugo OK 74743-4005 | |
| (903) 227-1349 | |
| Not Available |
| Full Name | Four Seasons Counseling Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 100 N 5th St, Hugo, Oklahoma |
| Authorized Official Name and Position | Brittany Whitlock (THERAPIST, OWNER) |
| Authorized Official Contact | 9032271349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Seasons Counseling Services, Inc. 1501 14th St Honey Grove TX 75446-2026 Ph: () - | Four Seasons Counseling Services, Inc. 100 N 5th St Hugo OK 74743-4005 Ph: (903) 227-1349 |
| NPI Number | 1467815464 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Medicare PECOS PAC ID | 4981902178 |
|---|---|
| Medicare Enrollment ID | O20160421001348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467815464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4594 (Oklahoma) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Brittany Whitlock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164753406 PECOS PAC ID: 5890093082 Enrollment ID: I20160421001435 |
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