Individual
MRS. KELLY RANAE MOUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 382-2205
Mailing address
11670 GUN SMOKE DR, COLLINSVILLE, OK 74021-6437
(918) 231-2500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4137
OK
101YP2500X
Professional Counselor
178.009763
IL
101YP2500X
Professional Counselor
4137
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100732910-A
MEDICAID/SOONERCARE GROUP
OK
01
—
73-1042545
COMMUNITY CARE OF OKLAHOMA GROUP
OK
01
—
731042545001
TRICARE GROUP
OK
Enumeration date
08/18/2006
Last updated
09/07/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us