Amber Mansfield

Individual provider Active NPI Mental Health Counselor · Spencer, OK

NPI 1801293246 · NPPES record last updated Dec 1, 2014

Key facts

NPI
1801293246
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
8817 Cecile PL
Spencer, OK 73084-3552
Phone
(405) 305-7909
NPI assigned
Dec 1, 2014
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

8817 Cecile PL
Spencer, OK 73084-3552

Mailing address

8817 Cecile PL
Spencer, OK 73084-3552
Phone (405) 305-7909

Other identifiers

IdentifierTypeStateIssuer
P081189700MedicaidOK

Other providers in Spencer, OK

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

Sources for this page

Verify at the official NPI Registry.