| Meadow Hazelhoff Counseling, Llc | |
|
9524 Conners Way Mcloud OK 74851-8668 | |
| (405) 219-2271 | |
| Not Available |
| Full Name | Meadow Hazelhoff Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9524 Conners Way, Mcloud, Oklahoma |
| Authorized Official Name and Position | Meadow Hazelhoff (OWNER) |
| Authorized Official Contact | 4052192271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadow Hazelhoff Counseling, Llc 9524 Conners Way Mcloud OK 74851-8668 Ph: (405) 219-2271 | Meadow Hazelhoff Counseling, Llc 9524 Conners Way Mcloud OK 74851-8668 Ph: (405) 219-2271 |
| NPI Number | 1770108946 |
|---|---|
| Provider Enumeration Date | 06/12/2020 |
| Last Update Date | 06/12/2020 |
| Certification Date | 06/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770108946 | NPI | - | NPPES |
| 200738420A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Kickapoo Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105365 S.highway 102, Mcloud, OK 74851 Phone: 405-964-2618 |