| Red Hawk Behavioral Health Llc | |
|
1218 N Florence Ave Ste B Claremore OK 74017-3755 | |
| (918) 283-4388 | |
| Not Available |
| Full Name | Red Hawk Behavioral Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 1218 N Florence Ave Ste B, Claremore, Oklahoma |
| Authorized Official Name and Position | Grace Ballard (DIRECTOR) |
| Authorized Official Contact | 9185089696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Hawk Behavioral Health Llc 1232 S Atlanta Pl Tulsa OK 74104-4311 Ph: (918) 508-9696 | Red Hawk Behavioral Health Llc 1218 N Florence Ave Ste B Claremore OK 74017-3755 Ph: (918) 283-4388 |
| NPI Number | 1164165486 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 04/14/2022 |
| Certification Date | 04/14/2022 |
| Medicare PECOS PAC ID | 5597138214 |
|---|---|
| Medicare Enrollment ID | O20230228002130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164165486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Grace Ballard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902137631 PECOS PAC ID: 1759516156 Enrollment ID: I20131019000047 |
| Provider Name | Cheri L Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508326877 PECOS PAC ID: 9638411044 Enrollment ID: I20190506001918 |
| Provider Name | Cheri J Moberly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568763993 PECOS PAC ID: 9335491554 Enrollment ID: I20230630000573 |
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