Melissa Gantz, LCSW | |
102 N Elm Pl Ste N, Broken Arrow, OK 74012-3883 | |
(918) 760-8155 | |
Not Available |
Full Name | Melissa Gantz |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 102 N Elm Pl Ste N, Broken Arrow, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164795803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2715 (Oklahoma) | Primary |
Entity Name | Brighter Horizons Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992453609 PECOS PAC ID: 5395185003 Enrollment ID: O20240429001912 |
Mailing Address | Practice Location Address |
---|---|
Melissa Gantz, LCSW 2928 N Fern Ct, Broken Arrow, OK 74012-0834 Ph: (918) 760-8155 | Melissa Gantz, LCSW 102 N Elm Pl Ste N, Broken Arrow, OK 74012-3883 Ph: (918) 760-8155 |
Ms. Sandra Ruth Sanford, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 840 S Aspen Ave, Ste E, Broken Arrow, OK 74012 Phone: 918-814-4451 | |
Tracey Middleton Jennings, MSW, LCSW, LADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8937 S Garnett Rd, Broken Arrow, OK 74012 Phone: 918-872-9777 Fax: 918-872-9779 | |
Herbert Lomax Jr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7312 S Garnett Rd Apt 316, Broken Arrow, OK 74012 Phone: 434-404-6357 | |
Justin Brown, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1210 E Freeport St, Broken Arrow, OK 74012 Phone: 918-815-9866 | |
Jessica Roberson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 N Elm Pl Ste N, Broken Arrow, OK 74012 Phone: 918-869-0550 | |
Ms. Jennifer Anne Regester, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1129 S Aspen Ave, Broken Arrow, OK 74012 Phone: 918-764-9300 Fax: 918-764-9275 |