| Integrated Therapy Solutions Of Oklahoma, Llc | |
|
620 Nw 5th St Ste D Moore OK 73160-3947 | |
| (405) 208-4469 | |
| (405) 208-4472 |
| Full Name | Integrated Therapy Solutions Of Oklahoma, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 620 Nw 5th St Ste D, Moore, Oklahoma |
| Authorized Official Name and Position | Amanda Marie Dupler (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4052084469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Therapy Solutions Of Oklahoma, Llc 620 Nw 5th St Ste D Moore OK 73160-3947 Ph: (405) 208-4469 | Integrated Therapy Solutions Of Oklahoma, Llc 620 Nw 5th St Ste D Moore OK 73160-3947 Ph: (405) 208-4469 |
| NPI Number | 1659855278 |
|---|---|
| Provider Enumeration Date | 09/19/2018 |
| Last Update Date | 10/18/2022 |
| Certification Date | 10/18/2022 |
| Medicare PECOS PAC ID | 2264808211 |
|---|---|
| Medicare Enrollment ID | O20221018000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659855278 | NPI | - | NPPES |
| 200850330A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kelvin H Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245249408 PECOS PAC ID: 1951383371 Enrollment ID: I20040601000999 |
| Provider Name | Lacey R Vaughan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902247091 PECOS PAC ID: 4587945332 Enrollment ID: I20170110001573 |
| Provider Name | Raina Don Leckie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497200737 PECOS PAC ID: 7719265990 Enrollment ID: I20180626001927 |
| Provider Name | Ashley M Drees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346617354 PECOS PAC ID: 0941633812 Enrollment ID: I20191206001099 |
| Provider Name | Honor N Sankey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518345206 PECOS PAC ID: 1557796463 Enrollment ID: I20200123001853 |
| Provider Name | Kendra Zoe Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083164313 PECOS PAC ID: 5698189629 Enrollment ID: I20210202001879 |
| Provider Name | Ellisa Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215401708 PECOS PAC ID: 2365834124 Enrollment ID: I20220128000377 |
| Provider Name | Julie Ann Nolan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962071688 PECOS PAC ID: 9436544087 Enrollment ID: I20220316003892 |
| Provider Name | Marion R Ritchey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427617232 PECOS PAC ID: 5698143964 Enrollment ID: I20221116003218 |
| Provider Name | Trisha M Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669034922 PECOS PAC ID: 6002287786 Enrollment ID: I20230117000019 |
| Provider Name | Kyle Lee Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962851659 PECOS PAC ID: 8426421520 Enrollment ID: I20230309002125 |
| Provider Name | Cailey Breanna Hutson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174028948 PECOS PAC ID: 0345695136 Enrollment ID: I20231013003232 |
| Provider Name | Glenda Cottier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235585894 PECOS PAC ID: 4981059771 Enrollment ID: I20231013003261 |
| Provider Name | Deanna Renee Wilkinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619068541 PECOS PAC ID: 7618322207 Enrollment ID: I20231017003870 |
| Provider Name | Vilman Andre |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457674707 PECOS PAC ID: 7416301908 Enrollment ID: I20231120001600 |
| Provider Name | Timothy Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649799081 PECOS PAC ID: 2264884840 Enrollment ID: I20240118004422 |
| Provider Name | Carolyn Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003439100 PECOS PAC ID: 1456704790 Enrollment ID: I20240202000224 |
| Provider Name | Donna Renea Daniels |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740595263 PECOS PAC ID: 5092159418 Enrollment ID: I20240213004643 |
| Provider Name | Amber Hulgan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184946410 PECOS PAC ID: 2365887437 Enrollment ID: I20240228002241 |
| Provider Name | Amanda Heldenbrand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508441098 PECOS PAC ID: 6608212824 Enrollment ID: I20240311002534 |
| Provider Name | Briana Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891465712 PECOS PAC ID: 6103267208 Enrollment ID: I20240507002251 |
| Provider Name | John Parker Kempf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255634341 PECOS PAC ID: 2062954670 Enrollment ID: I20240611002911 |
| Provider Name | Jill Maree Bashorun |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023262771 PECOS PAC ID: 3274801758 Enrollment ID: I20240807002724 |
| Provider Name | Debbie Sue Wade |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851426290 PECOS PAC ID: 8022555903 Enrollment ID: I20240809000590 |
| Provider Name | J'briel Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831615137 PECOS PAC ID: 7517308679 Enrollment ID: I20240813001123 |
| Provider Name | Ashley K Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366722969 PECOS PAC ID: 0749728228 Enrollment ID: I20240815000038 |
| Provider Name | Jamie Lynn Mungai |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306326483 PECOS PAC ID: 1658819925 Enrollment ID: I20240817000104 |
| Provider Name | Michelle Rudesill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710570874 PECOS PAC ID: 6103364393 Enrollment ID: I20240820000047 |
| Provider Name | Jenny Michelle Mosley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952487555 PECOS PAC ID: 2466991179 Enrollment ID: I20240826004047 |
| Provider Name | Alicia Marie Jarvis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770073389 PECOS PAC ID: 8426598269 Enrollment ID: I20240909000563 |
| Provider Name | April Lynn Pillon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992121453 PECOS PAC ID: 3375991037 Enrollment ID: I20240924004345 |
| Provider Name | Holly Renee' Melton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427688274 PECOS PAC ID: 2769915289 Enrollment ID: I20241023000478 |
| Provider Name | Candas Golden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093920134 PECOS PAC ID: 2668905670 Enrollment ID: I20241030000155 |
| Provider Name | Stephanie Joyce Mcgregor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356846125 PECOS PAC ID: 2365975380 Enrollment ID: I20241030000680 |
| Provider Name | Brandi Danielle Medley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043883911 PECOS PAC ID: 3577096486 Enrollment ID: I20241031000338 |
| Provider Name | Troy Lee Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790156305 PECOS PAC ID: 7618403130 Enrollment ID: I20241207000258 |
The Therapy Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2119 Riverwalk Dr # 173, Moore, OK 73160 Phone: 405-596-0885 | |
Pathwork Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 Nw 5th St, Moore, OK 73160 Phone: 240-727-9677 | |
Hope-joy-peace Counseling Services Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N Broadway St, Suite 109, Moore, OK 73160 Phone: 405-831-7791 Fax: 405-759-2944 | |
Kara Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Magnolia Ct, Ste 119, Moore, OK 73160 Phone: 405-215-9302 | |
Good Foundations Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 N Platt Cir, Moore, OK 73170 Phone: 405-355-3053 | |
Kayla Wright Counseling, P.l.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 N Moore Ave Ste 15, Moore, OK 73160 Phone: 405-277-0482 |