| White Horse Ranch Outpatient, Llc | |
|
40803 S County Road 213 1601 Wilkie Road Mooreland OK 73852-9131 | |
| (580) 994-5649 | |
| (580) 994-5972 |
| Full Name | White Horse Ranch Outpatient, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 40803 S County Road 213, Mooreland, Oklahoma |
| Authorized Official Name and Position | Tammie Renee Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5805711272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Horse Ranch Outpatient, Llc 40803 S County Road 213 1601 Wilkie Road Mooreland OK 73852-9131 Ph: (580) 994-5649 | White Horse Ranch Outpatient, Llc 40803 S County Road 213 1601 Wilkie Road Mooreland OK 73852-9131 Ph: (580) 994-5649 |
| NPI Number | 1699158683 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699158683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 839 (Oklahoma) | Secondary |
| 101YM0800X | Counselor - Mental Health | 4974 (Oklahoma) | Primary |
Ora Counseling And Emdr, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S. Main St., Mooreland, OK 73852 Phone: 580-952-4119 |