Alliance Mental Health, Llc. | |
8 S Elliott St Pryor OK 74361-4612 | |
(918) 608-0380 | |
Not Available |
Full Name | Alliance Mental Health, Llc. |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 8 S Elliott St, Pryor, Oklahoma |
Authorized Official Name and Position | Ronald Lobato (CEO) |
Authorized Official Contact | 9186080380 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alliance Mental Health, Llc. Po Box 12192 Denver CO 80212-0192 Ph: (918) 608-0380 | Alliance Mental Health, Llc. 8 S Elliott St Pryor OK 74361-4612 Ph: (918) 608-0380 |
NPI Number | 1659961530 |
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Provider Enumeration Date | 01/25/2021 |
Last Update Date | 05/27/2025 |
Certification Date | 05/27/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659961530 | NPI | - | NPPES |
200345410B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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