| Good Life Enterprises, Inc. | |
|
3200 Medical Park Dr Shawnee OK 74804-5014 | |
| (405) 474-3782 | |
| (405) 395-5699 |
| Full Name | Good Life Enterprises, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3200 Medical Park Dr, Shawnee, Oklahoma |
| Authorized Official Name and Position | Rebekah Lynn Wahkinney (PSYCHOLOGIST) |
| Authorized Official Contact | 4054743782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Life Enterprises, Inc. 33708 Post Office Neck Rd Shawnee OK 74801-5014 Ph: (405) 474-3782 | Good Life Enterprises, Inc. 3200 Medical Park Dr Shawnee OK 74804-5014 Ph: (405) 474-3782 |
| NPI Number | 1841410776 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/16/2021 |
| Certification Date | 07/26/2021 |
| Medicare PECOS PAC ID | 9931198157 |
|---|---|
| Medicare Enrollment ID | O20040511001352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841410776 | NPI | - | NPPES |
| 200075800A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 952 (Oklahoma) | Primary |
| Provider Name | Rebekah L Wahkinney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750310736 PECOS PAC ID: 0648269878 Enrollment ID: I20040513000598 |
Jonathan D Cargill, Phd, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 E 9th St, Suite 311, Shawnee, OK 74801 Phone: 405-275-6701 Fax: 405-598-3668 | |
Scott Hupfer, Ms Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 W Independence St, Suite #115, Shawnee, OK 74804 Phone: 405-323-7927 Fax: 405-214-0185 | |
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Vision For Life Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1605 N Harrison St, Shawnee, OK 74804 Phone: 405-639-4714 | |
Kelly Veeley Heart Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1404 N Broadway Ave, Shawnee, OK 74801 Phone: 405-777-8033 | |
Hope Revealed Behavioral Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2218 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-596-3833 | |
Steven James Randolph Lcsw-acsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 E 9th St, Ste 321, Shawnee, OK 74801 Phone: 405-476-5487 Fax: 405-521-9736 |