Provider Demographics
NPI:1073959763
Name:GEDDES, HELEN RENEE (BHRS)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:RENEE
Last Name:GEDDES
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 305
Mailing Address - Street 2:
Mailing Address - City:KREBS
Mailing Address - State:OK
Mailing Address - Zip Code:74554
Mailing Address - Country:US
Mailing Address - Phone:918-470-0857
Mailing Address - Fax:
Practice Address - Street 1:832 HARDY SPRINGS CIR
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-7377
Practice Address - Country:US
Practice Address - Phone:918-470-0857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management