| Mrs Leta Michelle Stanley, MS, LPC | |
|
1803 S Wood Dr, Okmulgee, OK 74447-6825 | |
| (918) 756-9411 | |
| Not Available |
| Full Name | Mrs Leta Michelle Stanley |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1803 S Wood Dr, Okmulgee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184055816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6558 (Oklahoma) | Primary |
| Entity Name | Creoks Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841311289 PECOS PAC ID: 0749591469 Enrollment ID: O20161101000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Leta Michelle Stanley, MS, LPC 608 S Wilson Ave, Okmulgee, OK 74447-6139 Ph: (918) 756-9411 | Mrs Leta Michelle Stanley, MS, LPC 1803 S Wood Dr, Okmulgee, OK 74447-6825 Ph: (918) 756-9411 |
Leslie Lynn Crow, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 W 7th St, Suite 102, Okmulgee, OK 74447 Phone: 918-758-1910 Fax: 918-756-1270 | |
Frank Wayne Mayhew, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1805 S Wood Dr, Okmulgee, OK 74447 Phone: 918-756-9250 | |
Miss Gay Lynn Peterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W 6th St, Okmulgee, OK 74447 Phone: 918-756-9250 | |
Mrs. Thomasine L. Fife, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 W 7th St Ste 102, Okmulgee, OK 74447 Phone: 918-758-1930 | |
Hilary Megan Snyder, MASTER OF ARTS IN CH Counselor Medicare: Not Enrolled in Medicare Practice Location: 1950 N Okmulgee, Okmulgee, OK 74447 Phone: 918-756-7700 Fax: 918-756-3347 | |
Ladonna Kay Shadlow, CBHCM, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 N Grand Ave Ste 418, Okmulgee, OK 74447 Phone: 918-227-2016 | |
Courtney Josie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 428 S Okmulgee Ave, Okmulgee, OK 74447 Phone: 918-752-8417 |