| Shantel Mitchell-cooley, Lcsw | |
|
5912 W Hefner Rd Ste S Oklahoma City OK 73162-4946 | |
| (405) 659-2403 | |
| Not Available |
| Full Name | Shantel Mitchell-cooley, Lcsw |
|---|---|
| Speciality | Psychologist |
| Location | 5912 W Hefner Rd Ste S, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Shantel Mitchell-cooley (LCSW) |
| Authorized Official Contact | 4056592403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shantel Mitchell-cooley, Lcsw Po Box 720954 Oklahoma City OK 73172-0954 Ph: () - | Shantel Mitchell-cooley, Lcsw 5912 W Hefner Rd Ste S Oklahoma City OK 73162-4946 Ph: (405) 659-2403 |
| NPI Number | 1285142992 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 02/01/2018 |
| Medicare PECOS PAC ID | 4284994146 |
|---|---|
| Medicare Enrollment ID | O20180214001523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285142992 | NPI | - | NPPES |
| 1290 | Other | OK | LICENSED PSYCHOLOGIST |
| 5827 | Other | OK | CLINICAL SOCIAL WORKER LICENSE |
| Provider Name | Stephanie A Mccabe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336574334 PECOS PAC ID: 7810295565 Enrollment ID: I20160412002776 |
| Provider Name | Shantel Mitchell-cooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255616264 PECOS PAC ID: 7911277611 Enrollment ID: I20170727002259 |
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