| Ms Shelly D Kantor, MS, LADC/MH | |
|
1516 N Lynn Riggs Blvd Ste 100, Claremore, OK 74017-3567 | |
| (918) 923-3802 | |
| (918) 923-3801 |
| Full Name | Ms Shelly D Kantor |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1516 N Lynn Riggs Blvd Ste 100, Claremore, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346680360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1336 (Oklahoma) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1336 (Oklahoma) | Primary |
| Entity Name | Family & Children's Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023122439 PECOS PAC ID: 9830170687 Enrollment ID: O20040527000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shelly D Kantor, MS, LADC/MH 7010 S Yale Ave, Suite 215, Tulsa, OK 74136-5713 Ph: (918) 492-2554 | Ms Shelly D Kantor, MS, LADC/MH 1516 N Lynn Riggs Blvd Ste 100, Claremore, OK 74017-3567 Ph: (918) 923-3802 |
Becky Ann Gafford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 423 W Will Rogers Blvd, Claremore, OK 74017 Phone: 918-810-8929 | |
Tiffany Landis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Rd, Claremore, OK 74017 Phone: 918-619-2557 Fax: 918-342-0087 | |
Michaela Ruby Lacio, MHR, LPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Medical Pkwy, Claremore, OK 74017 Phone: 918-342-0770 | |
Zaire Archuleta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Medical Pkwy, Claremore, OK 74017 Phone: 918-342-0770 Fax: 918-342-0087 | |
Valorie C Nagy, MHR, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Road, Claremore, OK 74017 Phone: 918-342-0770 | |
Lucy Diane Estes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17599 S Highway 88, Claremore, OK 74017 Phone: 918-273-0770 | |
Helen Provost, BSW/MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Rd, Claremore, OK 74017 Phone: 918-374-0770 Fax: 918-342-0087 |