Mrs Kim Michelle Turner, | |
118 N Oak St, Ponca City, OK 74601-4238 | |
(580) 763-7177 | |
(580) 762-1066 |
Full Name | Mrs Kim Michelle Turner |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 118 N Oak St, Ponca City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952623183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | K080413278 (Oklahoma) | Secondary |
101YM0800X | Counselor - Mental Health | K080413278 (Oklahoma) | 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 |
---|---|
Mrs Kim Michelle Turner, 118 N Oak St, Ponca City, OK 74601-4238 Ph: (580) 763-7177 | Mrs Kim Michelle Turner, 118 N Oak St, Ponca City, OK 74601-4238 Ph: (580) 763-7177 |
Kirk Michael Hollis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 W Grand Ave, Ponca City, OK 74601 Phone: 580-767-8000 | |
Laura Anne Peitz, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3415 Meadow Ln, Ponca City, OK 74604 Phone: 580-762-5948 | |
Charles Nix, L.P.C. CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 N 5th St, Ponca City, OK 74601 Phone: 580-242-4673 | |
Renia Lynn Batman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 N 6th St, Ponca City, OK 74601 Phone: 918-287-1175 | |
Ms. Anne Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 Fairview Ave, Ponca City, OK 74601 Phone: 580-765-3900 | |
Lauren Kirk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 N 4th St, Ponca City, OK 74601 Phone: 580-749-5056 | |
Ashley Merz, BS, MPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Grand Ave, Ponca City, OK 74601 Phone: 580-762-1462 Fax: 580-765-7299 |