Tammy Ralene Bower, BHRS
Individual provider Active NPI Counselor · Poteau, OK
NPI 1902160179 · NPPES record last updated Jan 11, 2013
Key facts
- NPI
- 1902160179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 401 N Church St
Poteau, OK 74953-3502 - Phone
- (918) 649-0230
- Fax
- (918) 649-1492
- NPI assigned
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241023000142 | OK | Practitioner - Mental Health Counselor | 8921531443 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Heights Oklahoma, LLC | Current | Accepting new patients | |
| Brighter Heights Oklahoma, LLC | Current |
Accepting new patients | |
| Brighter Heights Oklahoma, LLC | Current |
Accepting new patients | |
| Sequelcare of Oklahoma | Past | Accepting new patients |
Locations
107 S High St
Antlers, OK 74523
Phone (580) 298-2830
401 N Church St
Poteau, OK 74953
Phone (580) 298-2830
401 N Church St
Ste K
Poteau, OK 74953
Phone (918) 649-0230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | OK | Yes |
Addresses
Primary practice location
401 N Church St
Poteau, OK 74953-3502
Mailing address
PO Box 1030
Antlers, OK 74523-1030
Phone (580) 298-2830
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E00008053 | Medicaid | OK |
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.