Shelley L Madden | Oklahoma City, OK • PECOS Search

Shelley L Madden

Counselor

Behavioral Health & Social Service Providers

416 SW 79th St, Oklahoma City, OK 73139-8121

(405) 246-5433 (405) 250-8897

PECOS Enrollment

Based on the most recent information from CMS, provider Shelley L Madden does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1326285974
Provider Type
Individual
Full Name
Madden, Shelley L
Title
Ms.
Credential
M.S.C.P.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/18/2009
Last Updated
1/18/2009

Contact Information

Practice Location

416 SW 79th St, Oklahoma City, OK 73139-8121

Unlisted Fax

Mailing Location

13209 Eastvalley Rd, Oklahoma City, OK 73170-6833

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 4112 Oklahoma