person
Mrs. Kelly Ranae Mounce, MS,LPC
Mental Health Counselor in Tulsa, Oklahoma
NPI 1275647349

Kelly Ranae Mounce is a Mental Health Counselor based in Collinsville, OK and is specialized in Mental Health. Kelly Ranae Mounce practices in Tulsa, OK and has the professional credentials of MS,LPC. The NPI Number for Kelly Ranae Mounce is 1275647349 and holds a License No. 4137 (Oklahoma).

The current practice location address for Kelly Ranae Mounce is 550 S Peoria Ave, Tulsa, OK and can be reached out via phone at 918-382-2205.

Location: 550 S Peoria Ave, Tulsa, OK, 74021-6437
person
Provider Profile Details
NPI Number
1275647349
Provider Name
Kelly Ranae Mounce
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Female
Address
550 S Peoria Ave, Tulsa, OK, 74021-6437
Phone Number
918-382-2205
Fax Number
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
73-1042545 01 OK COMMUNITY CARE OF OKLAHOMA GROUP
100732910-A 01 OK MEDICAID/SOONERCARE GROUP
73-1042545 01 OK GROUP MEDICARE
73-1042545 01 OK BLUE CROSS BLUE SHIELD GROUP
731042545001 01 OK TRICARE GROUP
institution
Provider Business Practice Location Address Details
Address
550 S Peoria Ave
City
State
Zip
74120-3820
Phone Number
918-382-2205
Fax Number
person
Provider Business Mailing Address Details
Address
550 S Peoria Ave
City
State
Zip
74120-3820
Phone Number
918-382-2205
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.009763 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4137 (Oklahoma)
Definition
Definition to come...
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