Ashley Slead, LPC-CANDIDATE | |
1228 Pecan, Pawhuska, OK 74056-5928 | |
(844) 458-2100 | |
Not Available |
Full Name | Ashley Slead |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1228 Pecan, Pawhuska, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366851594 | NPI | - | NPPES |
1366851594 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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 |
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Ashley Slead, LPC-CANDIDATE 3100 Medical Pkwy, Claremore, OK 74017-1088 Ph: (918) 342-0770 | Ashley Slead, LPC-CANDIDATE 1228 Pecan, Pawhuska, OK 74056-5928 Ph: (844) 458-2100 |
Amanda J Howerton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1616 Mckenzie, Pawhuska, OK 74056 Phone: 918-287-2881 | |
Victoria Parker, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 473 Elks Lodge Road, Pawhuska, OK 74056 Phone: 405-528-7721 | |
Mr. Jon S Polen, M.S. , LPC Counselor Medicare: Medicare Enrolled Practice Location: 606 Kihekah Ave, Pawhuska, OK 74056 Phone: 918-287-5426 | |
Mrs. Gwynette Maria Chaney, MS. M.ED, LPC Counselor Medicare: Medicare Enrolled Practice Location: 124 E 6th St, Pawhuska, OK 74056 Phone: 918-604-6054 Fax: 918-777-9018 | |
Mr. Louis G Gray I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Grandview, Pawhuska, OK 74056 Phone: 918-287-5415 | |
Mr. William Franklin Pendley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Edwin Fair Cmhc 515 Old Hyw 99, Pawhuska, OK 74056 Phone: 918-287-1175 Fax: 918-287-0036 |