Ms Kelly Jean Smith-troutman, LPC | |
407 W South Ave, Ponca City, OK 74601-6133 | |
(844) 458-2100 | |
Not Available |
Full Name | Ms Kelly Jean Smith-troutman |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 407 W South Ave, 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 |
---|---|---|---|
1336260751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 4513 (Oklahoma) | Primary |
Entity Name | Grand Lake Mental Health Center, Inc. |
---|---|
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 |
---|---|
Ms Kelly Jean Smith-troutman, LPC 407 W South Ave, Ponca City, OK 74601-6133 Ph: (844) 458-2100 | Ms Kelly Jean Smith-troutman, LPC 407 W South Ave, Ponca City, OK 74601-6133 Ph: (844) 458-2100 |
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 |