| Southeastern Oklahoma Counseling Services Pllc | |
|
205 Dewey Ave Suite #2 Poteau OK 74953-4224 | |
| (918) 413-4840 | |
| (918) 649-0404 |
| Full Name | Southeastern Oklahoma Counseling Services Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 205 Dewey Ave, Poteau, Oklahoma |
| Authorized Official Name and Position | Patrick Wade Elifritz (THERAPIST/OWNER) |
| Authorized Official Contact | 9184134840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Oklahoma Counseling Services Pllc 301 Joy Dr Bokoshe OK 74930-2504 Ph: (918) 413-4840 | Southeastern Oklahoma Counseling Services Pllc 205 Dewey Ave Suite #2 Poteau OK 74953-4224 Ph: (918) 413-4840 |
| NPI Number | 1386992394 |
|---|---|
| Provider Enumeration Date | 08/22/2012 |
| Last Update Date | 09/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386992394 | NPI | - | NPPES |
| 1154526432 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2430 (Oklahoma) | Primary |
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