| Ba Wellness Services, Llc | |
|
100 W Main St Fl 4 Pawhuska OK 74056-4149 | |
| (918) 287-5420 | |
| (918) 287-5234 |
| Full Name | Ba Wellness Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 W Main St Fl 4, Pawhuska, Oklahoma |
| Authorized Official Name and Position | David Ray Cordle (LLC OWNER MANAGER) |
| Authorized Official Contact | 5392606873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ba Wellness Services, Llc 604 Hickory Dr Cleveland OK 74020-1002 Ph: (918) 850-6503 | Ba Wellness Services, Llc 100 W Main St Fl 4 Pawhuska OK 74056-4149 Ph: (918) 287-5420 |
| NPI Number | 1205353455 |
|---|---|
| Provider Enumeration Date | 08/28/2017 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205353455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5951 (Oklahoma) | Primary |
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