Brianna Shamblin, | |
12005 E 470 Rd, Claremore, OK 74017-3737 | |
(918) 342-0770 | |
(918) 342-0087 |
Full Name | Brianna Shamblin |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 12005 E 470 Rd, Claremore, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336558618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (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 |
---|---|
Brianna Shamblin, 12005 E 470 Rd, Claremore, OK 74017-3737 Ph: (918) 342-0770 | Brianna Shamblin, 12005 E 470 Rd, Claremore, OK 74017-3737 Ph: (918) 342-0770 |
Becky Ann Gafford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 423 W Will Rogers Blvd, Claremore, OK 74017 Phone: 918-810-8929 | |
Tiffany Landis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Rd, Claremore, OK 74017 Phone: 918-619-2557 Fax: 918-342-0087 | |
Michaela Ruby Lacio, MHR, LPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Medical Pkwy, Claremore, OK 74017 Phone: 918-342-0770 | |
Zaire Archuleta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Medical Pkwy, Claremore, OK 74017 Phone: 918-342-0770 Fax: 918-342-0087 | |
Valorie C Nagy, MHR, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Road, Claremore, OK 74017 Phone: 918-342-0770 | |
Lucy Diane Estes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17599 S Highway 88, Claremore, OK 74017 Phone: 918-273-0770 | |
Helen Provost, BSW/MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Rd, Claremore, OK 74017 Phone: 918-374-0770 Fax: 918-342-0087 |