| Quest Mhsa | |
|
307 Sw B St Antlers OK 74523-3824 | |
| (580) 326-8605 | |
| (580) 298-5357 |
| Full Name | Quest Mhsa |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 307 Sw B St, Antlers, Oklahoma |
| Authorized Official Name and Position | Marla Marcum (OWNER) |
| Authorized Official Contact | 5802983001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quest Mhsa Po Box 309 Antlers OK 74523-0309 Ph: (580) 298-3001 | Quest Mhsa 307 Sw B St Antlers OK 74523-3824 Ph: (580) 326-8605 |
| NPI Number | 1174776819 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 4688943657 |
|---|---|
| Medicare Enrollment ID | O20170927004331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174776819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Sheri Lyn Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528090636 PECOS PAC ID: 1153454046 Enrollment ID: I20100728001258 |
| Provider Name | Katherine M Luna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467716209 PECOS PAC ID: 6800144031 Enrollment ID: I20180806000434 |
| Provider Name | Jordan Bracht |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861916249 PECOS PAC ID: 9739517608 Enrollment ID: I20200309001110 |
| Provider Name | Angela Ashton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932408333 PECOS PAC ID: 7113337445 Enrollment ID: I20201207000369 |
| Provider Name | Michelle Renee Barron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710009667 PECOS PAC ID: 2668822883 Enrollment ID: I20231229000559 |
| Provider Name | Tammy Lea Watts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164741021 PECOS PAC ID: 1850741927 Enrollment ID: I20240102002422 |
| Provider Name | Odete Carneiro Phares |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245504430 PECOS PAC ID: 2365893237 Enrollment ID: I20240105000437 |
| Provider Name | Valerie J Stark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144551722 PECOS PAC ID: 0042662546 Enrollment ID: I20240119004012 |
| Provider Name | Ricky L Huggins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063773414 PECOS PAC ID: 5698127009 Enrollment ID: I20240122003516 |
| Provider Name | Keely Kelley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538740451 PECOS PAC ID: 9537512702 Enrollment ID: I20240124003600 |
| Provider Name | Kathy L Pendergraft |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083055933 PECOS PAC ID: 1557714169 Enrollment ID: I20240131001162 |
| Provider Name | Rachel Callicoat |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235687096 PECOS PAC ID: 3971948704 Enrollment ID: I20240301003062 |
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