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NPI Code Detail

MEDICARE: MYLINDA FOX BHRS

MEDICARE: MYLINDA FOX BHRS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLPC05872OK

General Provider Information

NPI Number : 1639406119
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYLINDA FOX BHRS
Provider Business Mailing Address
First Line : 11657 COUNTY ROAD 1510
Second Line :
City : ADA
State : OK
Zip : 74820-4944
Country : US
Telephone Number : 580-235-6283
Fax Number :
Provider Business Practice Location Address
First Line : 901 W 18TH ST
Second Line :
City : ADA
State : OK
Zip : 74820-7423
Country : US
Telephone Number : 580-436-6130
Fax Number : 580-436-6135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2009
Last Update Date : 03/18/2026

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Directions to “ MYLINDA FOX BHRS” Practice Location

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