Michelle Denise Terry, BSW
Individual provider Active NPI Mental Health Counselor · Paoli, OK
NPI 1366745689 · NPPES record last updated Dec 8, 2010
Key facts
- NPI
- 1366745689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 101 Christi St
Paoli, OK 73074 - Phone
- (405) 484-7825
- NPI assigned
- Dec 8, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
101 Christi St
Paoli, OK 73074
Mailing address
101 Christi St
P. O. Box 336
Paoli, OK 73074-0336
Phone (405) 484-7825
Other providers in Paoli, OK
All providers in Paoli, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.