Mrs. Allie Grantham, MHR, LPC, CADC
Mrs. Allie Grantham, MHR, LPC, CADC is a Mental Health Counselor in Tahlequah, Oklahoma. Qualified in 2014, 12 years ago. Practices with Northeastern Oklahoma Community Health Centers, Inc, a 36-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 12
- Licensed in
- OK
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
529 N Oak AveTahlequah, OK 74464
Phone: (918) 444-2126
Fax: (918) 458-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence 6374 (OK) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1447388178 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MHR , LPC , CADC |
| Sole proprietor | No |
| NPI enumerated | March 2, 2007 |
| Last updated in NPPES | October 16, 2019 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Northeastern Oklahoma Community Health Centers, Inc — 36 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Tahlequah
-
Richard L. Eller
1400 Hensley Dr, Tahlequah, OK 74464-5221 · (918) 207-3000
-
Timothy Wayne Foreman
16414 W 760 Rd, Tahlequah, OK 74464-1675 · (918) 708-9009
-
Dana McCart Freeman-Tackett, MS, LPC
100 S Bliss Ave, Tahlequah, OK 74464-2512 · (918) 458-3616
-
Russell O Gillette, LPC, LADC
1008 S Muskogee Ave, Tahlequah, OK 74464-4734 · (918) 458-0113
-
Audrey June Halfacre, BS, MHA
4803 Ridge St, Tahlequah, OK 74464-5644 · (918) 316-0130
-
Kathy Hampton-Swaffar, LADC, U/S
1200 W 4th St Ste D, Tahlequah, OK 74464-5013 · (918) 458-0113
-
MS. Callie Ann Hathcoat, LADC
720 College Ct, Tahlequah, OK 74464-4741 · (918) 453-0841
-
Bryan R Hooper
18483 Hilltop Cir, Tahlequah, OK 74464-6129 · (572) 247-8015