| Stevens Mhs LLC | |
|
510 24th Ave Sw Norman OK 73069-5106 | |
| (405) 329-7923 | |
| (405) 329-8815 |
| Full Name | Stevens Mhs LLC |
|---|---|
| Speciality | Counselor |
| Location | 510 24th Ave Sw, Norman, Oklahoma |
| Authorized Official Name and Position | Derek Lee Stevens (SOLE MEMBER) |
| Authorized Official Contact | 4054437619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stevens Mhs LLC 3020 Red Cedar Way Norman OK 73069-1329 Ph: (405) 443-7619 | Stevens Mhs LLC 510 24th Ave Sw Norman OK 73069-5106 Ph: (405) 329-7923 |
| NPI Number | 1336009745 |
|---|---|
| Provider Enumeration Date | 11/17/2025 |
| Last Update Date | 11/20/2025 |
| Certification Date | 11/20/2025 |
| Medicare PECOS PAC ID | 5597251553 |
|---|---|
| Medicare Enrollment ID | O20251230001451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336009745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Primary |
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