MRS. GRACE BALLARD MSW LADC LCSW NPI 1902137631

NPI Information

NPI: 1902137631
Provider Name: MRS. GRACE BALLARD, MSW, LADC, LCSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
1232 S ATLANTA PL
TULSA, OK
ZIP 74104
Phone: (918) 508-9696
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MRS. Grace Ballard, MSW, LADC, LCSW is an addiction (substance use disorder) counselor in Tulsa, OK with 14 years of experience. MRS. Grace Ballard, MSW, LADC, LCSW NPI is 1902137631. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1232 S ATLANTA PL
TULSA, OK
ZIP 74104-311
Phone: (918) 508-9696

The NPI 1902137631 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/20/2010 and was last updated on 10/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	4548	OKLAHOMA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	967	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200398400A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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