Renee Burks
Individual provider Active NPI Mental Health Counselor · Grove, OK
NPI 1912306754 · NPPES record last updated Jan 27, 2023
Key facts
- NPI
- 1912306754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1115 Harbor Rd
Grove, OK 74344-3505 - Phone
- (918) 786-4434
- Fax
- (918) 786-4435
- NPI assigned
- Aug 18, 2014
- 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
1115 Harbor Rd
Grove, OK 74344-3505
Mailing address
114 W Delaware Ave
Nowata, OK 74048-2601
Phone (918) 273-1841
Other providers in Grove, OK
- Lauren Margaret Brown
- Bryan Downing, D.D.S.
- Kathryn Buchanan
- Kimberly Rene Buffalo
- Robert Franklyn Burke
- Teresa Kay Butler
- Paul Edward Callicoat Jr.
- Paula Calvin
- Jill Jolene Carbajal
- Carl'S Hometown Pharmacy LLC
All providers in Grove, 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 Jan 27, 2023. 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.