| Ms Donna Latrice Holden, | |
| 
					6128 E 38th St, Tulsa, OK 74135-5832  | |
| (800) 722-3611 | |
| Not Available | 
| Full Name | Ms Donna Latrice Holden | 
|---|---|
| Gender | Female | 
| Speciality | Marriage & Family Therapist | 
| Location | 6128 E 38th St, Tulsa, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265653083 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 11769 (Oklahoma) | 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 | 
|---|---|
| Ms Donna Latrice Holden, 6128 E 38th St, Tulsa, OK 74135-5832 Ph: (800) 722-3611  | Ms Donna Latrice Holden, 6128 E 38th St, Tulsa, OK 74135-5832 Ph: (800) 722-3611  | 
Mr. Paul A Mayberry,  Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4444 E 31st St, Tulsa, OK 74135 Phone: 918-747-7373 Fax: 918-747-0197  | |
Mrs. Constance Vernetta Alexander, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3015 E Skelly Dr, 211-1, Tulsa, OK 74105 Phone: 918-884-8255 Fax: 918-770-8871  | |
Dawn Lloyd,  Couples Therapy Medicare: Medicare Enrolled Practice Location: 4835 S Fulton Ave Ste 100, Tulsa, OK 74135 Phone: 918-960-0095  | |
James Wallace Grinnell, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2121 E 3rd St, Tulsa, OK 74104 Phone: 918-587-2400  | |
Salley Sutmiller,  Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2431 E 51st St, Suite 500, Tulsa, OK 74105 Phone: 918-745-0095 Fax: 918-745-0190  | |
Leigh Ann Tracy Fields, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6585 S Yale Ave, Suite 340, Tulsa, OK 74136 Phone: 918-200-9331  | |
Brad S Robinson,  Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 616 S Boston Ave, Tulsa, OK 74119 Phone: 918-382-7300  |