Kelly Ranae Mounce in Tulsa - Professional

Kelly Ranae Mounce - NPI 1275647349

Kelly Ranae Mounce is a Professional in Tulsa, Oklahoma. Kelly Ranae Mounce practices all healthcare services and medical treatments related to Professional. The NPI Number for Kelly Ranae Mounce is 1275647349. The last update date is 2021-09-07.

Kelly Ranae Mounce's current location address is 550 S Peoria Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9183822205. The mailing address for Kelly Ranae Mounce is 550 S Peoria Ave, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Ranae Mounce
Address 550 S Peoria Ave, Tulsa, Oklahoma
Phone Number 9183822205
Fax Number
Sole Proprietor N
Credentials MS, LPC

NPI Number Detail

NPI Number 1275647349
Provider Enumeration Date 2006-08-18
Last Updated Date 2021-09-07

Provider Mailing Address Detail

Address 550 S Peoria Ave
City Tulsa
State Oklahoma (OK)
Post Code 741203820
Phone Number 9183822205
Fax Number

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 4137
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
73-1042545 OK COMMUNITY CARE OF OKLAHOMA GRO
100732910-A OK MEDICAID/SOONERCARE GROUP
73-1042545 OK GROUP MEDICARE
73-1042545 OK BLUE CROSS BLUE SHIELD GROUP
731042545001 OK TRICARE GROUP

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FAQs about Kelly Ranae Mounce

What is the Kelly Ranae Mounce's 1275647349?

The Kelly Ranae Mounce's NPI (National Provider Identifier) Number is 1275647349. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kelly Ranae Mounce is geographically located?

The Kelly Ranae Mounce is physically situated at the following location: 550 S Peoria Ave, Tulsa, OK, 741203820.

What is the Kelly Ranae Mounce's specialty and taxonomy code?

The Kelly Ranae Mounce's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.

On what date did Kelly Ranae Mounce receive its 1275647349 assignment from the Centers for Medicare & Medicaid Services?

The Kelly Ranae Mounce was assigned its 1275647349 on 2006-08-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Kelly Ranae Mounce's information last updated?

The Kelly Ranae Mounce's information was last updated on 2021-09-07.

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