Alishia Butler, MCP, LADC-MH | |
502 N 14th St, Perry, OK 73077-5022 | |
(918) 308-5512 | |
(405) 445-3780 |
Full Name | Alishia Butler |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 502 N 14th St, Perry, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396263810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1335 (Oklahoma) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | Grand Lake Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
Mailing Address | Practice Location Address |
---|---|
Alishia Butler, MCP, LADC-MH 502 N 14th St, Perry, OK 73077-5022 Ph: (918) 308-5512 | Alishia Butler, MCP, LADC-MH 502 N 14th St, Perry, OK 73077-5022 Ph: (918) 308-5512 |
Mrs. Courtney May, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13650 John Wayne, Perry, OK 73077 Phone: 805-721-2525 | |
Diana Samarripa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 N 14th St, Perry, OK 73077 Phone: 918-308-5512 | |
Mr. Eldon Lawrence Johnson, M.ED., LPC. Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 N 14th St, Perry, OK 73077 Phone: 918-308-5512 |