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NPI Code Detail

MEDICARE: GENERATIONS FAMILY COUNSELING, INC

MEDICARE: GENERATIONS FAMILY COUNSELING, INC
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1649657354
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENERATIONS FAMILY COUNSELING, INC
Provider Business Mailing Address
First Line : 640B EARTHSIDE DR
Second Line :
City : CLAREMORE
State : OK
Zip : 74017-4738
Country : US
Telephone Number : 918-231-7103
Fax Number :
Provider Business Practice Location Address
First Line : 1216 E KENOSHA ST
Second Line : #157
City : BROKEN ARROW
State : OK
Zip : 74012-2007
Country : US
Telephone Number : 918-630-3001
Fax Number : 918-283-2004
Authorized Official
Title or Position : CASE MANAGER
Name : JENNY RAMSEY
Credential :
Telephone Number : 918-231-7103
Provider Enumeration Date : 05/01/2015
Last Update Date : 05/01/2015

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Directions to “GENERATIONS FAMILY COUNSELING, INC ” Practice Location

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