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Dwight Richey

Counselor

Behavioral Health & Social Service Providers

8625 S Walker Ave, Oklahoma City, OK 73139-9462

PECOS Enrollment

Based on the most recent information from CMS, provider Dwight Richey 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
1386963494
Provider Type
Individual
Full Name
Richey, Dwight
Credential
MS, LPC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/28/2010
Last Updated
4/10/2023

Contact Information

Practice Location

8625 S Walker Ave, Oklahoma City, OK 73139-9462

(405) 331-6913

(405) 635-1179

Mailing Location

3104 Westbury Glen Blvd, Oklahoma City, OK 73179-1244

(405) 919-8505

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 7350 Oklahoma
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License 7350 Oklahoma
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Dwight Richey

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Todd, Jordan

Lopez Aponte, Gabriela

Mcferren, Mitchell David

Personal Revolutions Behavioral Health Services, Llc

Freitas, Jacqueline

Dodge, Sarah

Madden, Shelley L

Haltom, Krystal Dawn