| Prodigy Foundation | |
|
1024 S Muskogee Ave Tahlequah OK 74464-4734 | |
| (918) 456-8399 | |
| (918) 456-8773 |
| Full Name | Prodigy Foundation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1024 S Muskogee Ave, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Susan Hope Roberts (DIRECTOR) |
| Authorized Official Contact | 9184568399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prodigy Foundation Po Box 1247 Tahlequah OK 74465-1247 Ph: (918) 456-8399 | Prodigy Foundation 1024 S Muskogee Ave Tahlequah OK 74464-4734 Ph: (918) 456-8399 |
| NPI Number | 1386665743 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386665743 | NPI | - | NPPES |
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Eeg Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 E Downing, Tahlequah, OK 74465 Phone: 918-743-4799 Fax: 918-743-4167 | |
People Inc. Of Sequoyah Co Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1606 E Downing St, Tahlequah, OK 74464 Phone: 918-775-7787 Fax: 918-775-4382 |