Tracie Stone, | |
205 S Adair St, Pryor, OK 74361-5201 | |
(918) 825-4872 | |
(918) 825-4873 |
Full Name | Tracie Stone |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 205 S Adair St, Pryor, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265854475 | NPI | - | NPPES |
200240050A | Medicaid | OK |
Entity Name | Alliance Mental Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053602649 PECOS PAC ID: 0345670733 Enrollment ID: O20200427002009 |
Entity Name | Alliance Mental Health Community Partnership |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679145486 PECOS PAC ID: 1355790437 Enrollment ID: O20231214002219 |
Mailing Address | Practice Location Address |
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Tracie Stone, 108 N Rowe St, Pryor, OK 74361-3833 Ph: (918) 961-2247 | Tracie Stone, 205 S Adair St, Pryor, OK 74361-5201 Ph: (918) 825-4872 |
Breanna Nicole Cook, MHR, LPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1401 Fax: 918-825-1406 | |
Jacqueline Marie Flynn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 E Graham Ave, Pryor, OK 74361 Phone: 918-825-1405 | |
Ladena Carol Moore, LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 S E 1st, Pryor, OK 74361 Phone: 918-825-4115 Fax: 918-825-6612 | |
Mrs. Kara Jamison, LPC Counselor Medicare: Medicare Enrolled Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1405 | |
Courtney Shiann Anderson, BHP Counselor Medicare: Medicare Enrolled Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1405 Fax: 918-825-1406 | |
Charity Dalaina Hall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 E Graham Ave, Pryor, OK 74361 Phone: 918-520-0722 | |
Janette Marie Nuspl, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 231 E Graham Ave, Pryor, OK 74361 Phone: 918-825-1405 |