Grace Baxter, LMSW-P
Individual provider Active NPI Mental Health Counselor · Altus, OK
NPI 1568028850 · NPPES record last updated Nov 29, 2022
Key facts
- NPI
- 1568028850
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1116 N Main St Ste M12
Altus, OK 73521-3149 - Phone
- (580) 925-0325
- NPI assigned
- May 13, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG61115510 | WA | MD | Counselor |
| NA60411306 | WA | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG61115510 | WA | |
| Behavior Technician | 106S00000X | |||
| Nurse's Aide | 376K00000X | NA60411306 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | CG61115510 | WA | |
| Mental Health Counselor | 101YM0800X | OK | Yes |
Addresses
Primary practice location
1116 N Main St Ste M12
Altus, OK 73521-3149
Mailing address
605 Hayes St
Altus, OK 73521-4761
Phone (509) 703-0059
Other names
- Grace Leeberg
Other providers in Altus, OK
- Barber Family Care Clinic PLLC
- Frances Elizabeth Barber
- Kira Barclay
- Tabor Renee Batug
- Skylar Bautista
- Ashley Dorothy Becerra
- Behavioral Health Services
- Stacy Dyan Belanger
- Amanda Jane Bernasconi
- Best Florida Rehab
All providers in Altus, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.