MEDICARE: BETHANY MEAD

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1952678302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETHANY MEAD

Provider Business Mailing Address
First Line	:	21171 CONSER RD
Second Line	:
City	:	HODGEN
State	:	OK
Zip	:	74939
Country	:	US
Telephone Number	:	918-653-3470
Fax Number	:

Provider Business Practice Location Address
First Line	:	21171 CONSER RD
Second Line	:
City	:	HODGEN
State	:	OK
Zip	:	74939
Country	:	US
Telephone Number	:	918-653-3470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2011
Last Update Date	:	07/19/2012

Similar Medicare Providers

1962537902 — DR. GARY ERLE JOHNSTON D.O.
Practice Location Address:

53468 MINERAL SPRINGS RD
HODGEN, OK
74939-3064

Practice Phone: 918-653-7831
Practice Fax:

1063603280 — HODGEN PUBLIC SCHOOL
Practice Location Address:

HWY 59 SOUTH SCHOOL HOUSE ROAD
HODGEN, OK
74939-0069

Practice Phone: 918-653-4476
Practice Fax:

1770906927 — ANGEL MORRISON
Practice Location Address:

50215 US HIGHWAY 59
HODGEN, OK
74939-3179

Practice Phone: 479-234-2705
Practice Fax:

1659637478 — JESSICA LYNN WALLACE
Practice Location Address:

26652 MUSE ROAD
MUSE, OK
74949

Practice Phone: 918-567-1719
Practice Fax:

1942688403 — ALICIA N CARDEN APRN
Practice Location Address:

400 E SHERIDAN RD
MELBOURNE, FL
32901-3184

Practice Phone: 321-722-5200
Practice Fax:

1801964952 — NORTHEASTERN MENTAL HEALTH CENTER
Practice Location Address:

14 S MAIN ST , SUITE 1E
ABERDEEN, SD
57401-4136

Practice Phone: 605-225-1010
Practice Fax: 605-225-1017

Directions to “ BETHANY MEAD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.