Mrs Grace Ballard, MSW, LADC, LCSW | |
1232 S Atlanta Pl, Tulsa, OK 74104-4311 | |
(918) 508-9696 | |
Not Available |
Full Name | Mrs Grace Ballard |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 15 Years |
Location | 1232 S Atlanta Pl, Tulsa, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902137631 | NPI | - | NPPES |
200398400A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 967 (Oklahoma) | Primary |
101YM0800X | Counselor - Mental Health | 4548 (Oklahoma) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Foundations Behavioral Health Llc | 4981950862 | 4 |
Entity Name | Foundations Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326429598 PECOS PAC ID: 4981950862 Enrollment ID: O20180706001976 |
Entity Name | Redhawk Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164165486 PECOS PAC ID: 5597138214 Enrollment ID: O20230228002130 |
Mailing Address | Practice Location Address |
---|---|
Mrs Grace Ballard, MSW, LADC, LCSW 1232 S Atlanta Pl, Tulsa, OK 74104-4311 Ph: (918) 508-9696 | Mrs Grace Ballard, MSW, LADC, LCSW 1232 S Atlanta Pl, Tulsa, OK 74104-4311 Ph: (918) 508-9696 |
Mr. Brian Eugene Abraham, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4845 S Sheridan Rd, Suite 510, Tulsa, OK 74145 Phone: 918-384-0002 Fax: 918-384-0004 | |
Felicia Fagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1870 S Boulder Ave, Tulsa, OK 74119 Phone: 918-585-1213 Fax: 918-585-1263 | |
Kacy Leigh Duvall, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1516 S Boston Ave, Suite 1, Tulsa, OK 74119 Phone: 918-561-6000 Fax: 918-561-6001 | |
Mr. Daren Hildreth, MAMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2018 E 31st Pl N, Tulsa, OK 74110 Phone: 918-794-8106 | |
Latisha Fuller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5125 S Utica Ave Apt 4, Tulsa, OK 74105 Phone: 918-734-5259 | |
Todd J Smetana, LPC-UNDER SUPERVISIO Counselor Medicare: Medicare Enrolled Practice Location: 5550 S Garnett Rd, Tulsa, OK 74146 Phone: 918-665-6501 Fax: 918-665-3966 | |
Marah Leigh Pense, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2448 E 81st St, Suite 5125, Tulsa, OK 74137 Phone: 918-392-7875 |