| Raymond Moran, | |
|
827 E 3rd St, Grove, OK 74344-7973 | |
| (620) 515-1080 | |
| Not Available |
| Full Name | Raymond Moran |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 827 E 3rd St, Grove, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194261826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC07520 (Oklahoma) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peak Performance Counseling And Consulting Llc | 5496272718 | 2 |
| Entity Name | Peak Performance Counseling and Consulting LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801520812 PECOS PAC ID: 5496272718 Enrollment ID: O20250509000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond Moran, 827 E 3rd St, Grove, OK 74344-7973 Ph: (620) 515-1080 | Raymond Moran, 827 E 3rd St, Grove, OK 74344-7973 Ph: (620) 515-1080 |
James Walls, Counselor Medicare: Accepting Medicare Assignments 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 |
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 |
Alisha Gibe, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Harbor Rd, Grove, OK 74344 Phone: 918-786-4434 |
Amber Marie Dey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 E 3rd St, Grove, OK 74344 Phone: 918-787-2104 |
Melody Salzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Harbor Rd, Grove, OK 74344 Phone: 918-786-4434 Fax: 918-786-4435 |