Heather M Farmer, BSRS

Individual provider Active NPI Mental Health Counselor · Madill, OK

NPI 1306139258 · NPPES record last updated May 25, 2011

Key facts

NPI
1306139258
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
101YM0800X (OK)
Practice address
105 Plaza
Madill, OK 73446-2248
Phone
(580) 795-7439
NPI assigned
May 25, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
101YM0800XOKMDCounselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 101YM0800X OK Yes

Addresses

Primary practice location

105 Plaza
Madill, OK 73446-2248

Mailing address

53 Copperhead LN
Ardmore, OK 73401-7777
Phone (580) 224-1330

Other providers in Madill, OK

All providers in Madill, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.