| Toya Modeste, | |
|
1115 Harbor Rd, Grove, OK 74344-3505 | |
| (918) 859-8934 | |
| Not Available |
| Full Name | Toya Modeste |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 13 Years |
| Location | 1115 Harbor Rd, Grove, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932447000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5644 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grand Lake Mental Health Center, Inc. | 4688711534 | 98 |
| 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 |
|---|---|
| Toya Modeste, 1115 Harbor Rd, Grove, OK 74344-3505 Ph: () - | Toya Modeste, 1115 Harbor Rd, Grove, OK 74344-3505 Ph: (918) 859-8934 |
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 | |
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 |