| Making A Difference Inc. | |
|
129 N University Ave Enid OK 73701-4653 | |
| (580) 233-5900 | |
| (580) 701-4312 |
| Full Name | Making A Difference Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 129 N University Ave, Enid, Oklahoma |
| Authorized Official Name and Position | Kelli Lynn Osburn (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5802335900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Making A Difference Inc. 129 N University Ave Enid OK 73701-4653 Ph: (580) 233-5900 | Making A Difference Inc. 129 N University Ave Enid OK 73701-4653 Ph: (580) 233-5900 |
| NPI Number | 1003173691 |
|---|---|
| Provider Enumeration Date | 04/19/2012 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 0941670038 |
|---|---|
| Medicare Enrollment ID | O20230106000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003173691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | Robyn Honeycutt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760611008 PECOS PAC ID: 9638495906 Enrollment ID: I20230106001551 |
| Provider Name | Sierra Hope Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346809266 PECOS PAC ID: 3375913494 Enrollment ID: I20230106001751 |
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