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Organization
MILLENNIUM MEDICAL SERVICES, L.L.C.
Active
Organization
MILLENNIUM MEDICAL SERVICES, L.L.C.
Active
Parent organization
MILLENNIUM MEDICAL SERVICES, L.L.C.
Other names
Poteau Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLENNIUM MEDICAL SERVICES, L.L.C.
Authorized official
DR. WADE L HAMIL PHD (CEO)
(405) 627-0276
Entity
Organization
Contact information
Practice address
1212 REYNOLDS AVE, POTEAU, OK 74953-4724
(888) 573-7792
(888) 753-8162
Mailing address
3816 SHADOWRIDGE DR, NORMAN, OK 73072-5308
(888) 573-7792
(888) 753-8162
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
NULL
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
04/22/2020
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