| Foundations Behavioral Health, Llc | |
|
16382 E Highway 20 Claremore OK 74019-3946 | |
| (918) 508-9696 | |
| Not Available |
| Full Name | Foundations Behavioral Health, Llc |
|---|---|
| Speciality | Counselor |
| Location | 16382 E Highway 20, Claremore, Oklahoma |
| Authorized Official Name and Position | Grace Ballard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9185089696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Behavioral Health, Llc Po Box 3062 Claremore OK 74018-3062 Ph: (918) 508-9696 | Foundations Behavioral Health, Llc 16382 E Highway 20 Claremore OK 74019-3946 Ph: (918) 508-9696 |
| NPI Number | 1326429598 |
|---|---|
| Provider Enumeration Date | 06/14/2015 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 4981950862 |
|---|---|
| Medicare Enrollment ID | O20180706001976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326429598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Grace Ballard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902137631 PECOS PAC ID: 1759516156 Enrollment ID: I20131019000047 |
| Provider Name | Vanessa L Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710229612 PECOS PAC ID: 1456601475 Enrollment ID: I20180912000658 |
| Provider Name | Cheri L Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508326877 PECOS PAC ID: 9638411044 Enrollment ID: I20190506001918 |
| Provider Name | Shakendra M Leathers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699073379 PECOS PAC ID: 3678974631 Enrollment ID: I20210628002762 |
| Provider Name | Cheri J Moberly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568763993 PECOS PAC ID: 9335491554 Enrollment ID: I20230630000573 |
| Provider Name | Christian K Morgan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023245529 PECOS PAC ID: 5395195523 Enrollment ID: I20231229000983 |
| Provider Name | Christine E Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861147787 PECOS PAC ID: 6800247222 Enrollment ID: I20240208000866 |
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