Organization
PSYCHIATRIC HEALTH CORPORATION
Active
Other names
Hennessee & Associates, FutureHealth TMS
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MARIE HUNTER (BILLING MANAGER)
(405) 759-3880
Entity
Organization
Contact information
Practice address
3224 SW 119TH ST STE B, OKLAHOMA CITY, OK 73170-4547
(405) 759-3880
(405) 759-3882
Mailing address
PO BOX 891868, OKLAHOMA CITY, OK 73189-1868
(405) 759-3880
(405) 759-3882
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
18494
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200030820A
—
OK
01
—
900522056
MEDICARE GROUP NUMBER
OK
Enumeration date
04/22/2008
Last updated
10/04/2022
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