| Alliance Mental Health Community Partnership | |
|
123 W Blue Starr Dr Claremore OK 74017-4226 | |
| (918) 608-0380 | |
| (209) 425-5727 |
| Full Name | Alliance Mental Health Community Partnership |
|---|---|
| Speciality | Clinic/Center |
| Location | 123 W Blue Starr Dr, Claremore, Oklahoma |
| Authorized Official Name and Position | Candice Morrison (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 9186080380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Mental Health Community Partnership 123 W Blue Starr Dr Claremore OK 74017-4226 Ph: (918) 608-0380 | Alliance Mental Health Community Partnership 123 W Blue Starr Dr Claremore OK 74017-4226 Ph: (918) 608-0380 |
| NPI Number | 1679145486 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Medicare PECOS PAC ID | 1355790437 |
|---|---|
| Medicare Enrollment ID | O20231214002219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679145486 | NPI | - | NPPES |
| 201071710A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Candice Michelle Morrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780904318 PECOS PAC ID: 8224486931 Enrollment ID: I20231117003077 |
| Provider Name | James Alan Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386970606 PECOS PAC ID: 7113377425 Enrollment ID: I20231228003906 |
| Provider Name | Tracie Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265854475 PECOS PAC ID: 9537519756 Enrollment ID: I20231229000358 |
| Provider Name | Sarah Brady Warren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710606611 PECOS PAC ID: 2769821784 Enrollment ID: I20240423002751 |
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