Stephanie Heaton, | |
138 S Main, Afton, OK 74331-1822 | |
(918) 257-4244 | |
(918) 257-4247 |
Full Name | Stephanie Heaton |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 138 S Main, Afton, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730511684 | 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 |
---|---|
Stephanie Heaton, 114 W Delaware Ave, Nowata, OK 74048-2601 Ph: (918) 273-1841 | Stephanie Heaton, 138 S Main, Afton, OK 74331-1822 Ph: (918) 257-4244 |
Paula Mantooth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 S Main, Afton, OK 74331 Phone: 918-257-4244 Fax: 918-257-4247 | |
Stacey Jameson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 S. Main St, Afton, OK 74331 Phone: 918-257-4244 | |
Mrs. Michelle R Clarkson, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 South Main Street, Afton, OK 74341 Phone: 918-257-4244 | |
Elizabeth Goodeyon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 S Main, Afton, OK 74331 Phone: 918-257-4244 Fax: 918-257-4247 | |
Ms. Deborah Evelyn Egerer, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 S Main, Afton, OK 74331 Phone: 918-257-4244 Fax: 918-257-4247 | |
Sarah Simpson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 S Main, Afton, OK 74331 Phone: 918-257-4244 Fax: 918-257-4247 | |
Regina Lynn Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 S. Main, Afton, OK 74331 Phone: 918-207-0078 |