Ms Diane Jean Vinson, LCSW | |
1115 Harber Rd, Grove, OK 74344-7918 | |
(918) 786-4434 | |
(918) 786-4435 |
Full Name | Ms Diane Jean Vinson |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1115 Harber Rd, Grove, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710922216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Millennium Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245286285 PECOS PAC ID: 6204730856 Enrollment ID: O20040105000859 |
Entity Name | Community Pathways Unlimited Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659328284 PECOS PAC ID: 6608776349 Enrollment ID: O20040109001005 |
Entity Name | Community Health Center Of Northeast Oklahoma, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821410648 PECOS PAC ID: 9133352081 Enrollment ID: O20140610000303 |
Mailing Address | Practice Location Address |
---|---|
Ms Diane Jean Vinson, LCSW 1115 Harber Rd, Grove, OK 74344-7918 Ph: (918) 786-4434 | Ms Diane Jean Vinson, LCSW 1115 Harber Rd, Grove, OK 74344-7918 Ph: (918) 786-4434 |
James Walls, Counselor Medicare: Medicare Enrolled Practice Location: 1115 Harbor Rd, Grove, OK 74344 Phone: 918-786-4434 Fax: 918-786-4435 | |
Theresa R Page-bohannan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 E 3rd St Ste D, Grove, OK 74344 Phone: 918-786-4331 Fax: 918-786-4332 | |
Tina Louise Causey, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1115 Har-ber Road, Grove, OK 74344 Phone: 844-458-2100 | |
Alexandrea Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Harbor Rd, Grove, OK 74344 Phone: 918-786-4434 | |
Mrs. Modina Pelley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 W. Harber Rd, Grove, OK 74344 Phone: 918-786-4434 | |
Gayle Lynn Dubois, MHR, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 E 3rd St, Grove, OK 74344 Phone: 918-480-1744 | |
Amber Marie Dey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 E 3rd St, Grove, OK 74344 Phone: 918-787-2104 |