| Sandra Vyann Wright, MHR, LADC/MH | |
|
421 E Thomas Ave, Stillwater, OK 74075-2600 | |
| (405) 372-2202 | |
| (405) 445-3780 |
| Full Name | Sandra Vyann Wright |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 421 E Thomas Ave, Stillwater, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194925974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Entity Name | Grand Lake Mental Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Vyann Wright, MHR, LADC/MH 421 E Thomas Ave, Stillwater, OK 74075-2600 Ph: (405) 372-2202 | Sandra Vyann Wright, MHR, LADC/MH 421 E Thomas Ave, Stillwater, OK 74075-2600 Ph: (405) 372-2202 |
Kaylie Marie Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S Duck St, Stillwater, OK 74074 Phone: 405-372-7791 |
Mrs. Gina Clark, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 800 E 6th Ave Ste B, Stillwater, OK 74074 Phone: 405-372-1250 |
Mrs. Whitney Warren Alexander, LMFT, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 S Lewis St, Stillwater, OK 74074 Phone: 405-742-0699 |
Ms. Courtney Cavett, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3018 Frye Farms St, Stillwater, OK 74074 Phone: 580-572-1252 |
Valerie Ann Sommers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2322 W 7th Ave, Stillwater, OK 74074 Phone: 405-707-9722 |
Ms. Leslie Erin Shuck, B.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 W 7th Pl, Stillwater, OK 74074 Phone: 405-707-9722 |
Shawna Donise Moore, PSYD, LPC, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 S Main St, Stillwater, OK 74074 Phone: 405-824-3408 Fax: 405-564-0062 |