| Peak Performance Counseling And Consulting Llc | |
|
1907 E Highway 10 Ste B Grove OK 74344-4127 | |
| (620) 515-1080 | |
| Not Available |
| Full Name | Peak Performance Counseling And Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1907 E Highway 10 Ste B, Grove, Oklahoma |
| Authorized Official Name and Position | Raymond L Moran (OWNER) |
| Authorized Official Contact | 6205151080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Performance Counseling And Consulting Llc 505 E 9th St Grove OK 74344-2934 Ph: (620) 515-1080 | Peak Performance Counseling And Consulting Llc 1907 E Highway 10 Ste B Grove OK 74344-4127 Ph: (620) 515-1080 |
| NPI Number | 1801520812 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Medicare PECOS PAC ID | 5496272718 |
|---|---|
| Medicare Enrollment ID | O20250509000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801520812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Patricia A Major |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477936748 PECOS PAC ID: 5294093910 Enrollment ID: I20171229000018 |
| Provider Name | Melvin Scott Ferris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821448911 PECOS PAC ID: 2769904119 Enrollment ID: I20250314002966 |
| Provider Name | Raymond Moran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194261826 PECOS PAC ID: 6305363623 Enrollment ID: I20250509000326 |
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