| Stephanie Hodges Counseling Llc | |
|
1407 Ne D St Ste 108 Stigler OK 74462-2818 | |
| (918) 917-0342 | |
| Not Available |
| Full Name | Stephanie Hodges Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1407 Ne D St Ste 108, Stigler, Oklahoma |
| Authorized Official Name and Position | Martin Neary (CREDENTIALING) |
| Authorized Official Contact | 5182443737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Hodges Counseling Llc 1407 Ne D St Ste 108 Stigler OK 74462-2818 Ph: () - | Stephanie Hodges Counseling Llc 1407 Ne D St Ste 108 Stigler OK 74462-2818 Ph: (918) 917-0342 |
| NPI Number | 1720865017 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 2567902141 |
|---|---|
| Medicare Enrollment ID | O20240910002073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720865017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Stephanie Suzanne Hodges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952763906 PECOS PAC ID: 1557704798 Enrollment ID: I20240205003527 |
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