Grantham, Allie

Grantham, Allie is an individual health care provider with primary practice located at 529 N Oak Ave , Tahlequah OK 74464. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Grantham, Allie can be contacted via phone (918) 444-2126.

Contact Information

Primary practice address
529 N Oak Ave Tahlequah OK 74464
Phone: (918) 444-2126
Fax: (918) 458-2300
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6374 Oklahoma

Profile Details

NPI number 1447388178
LBN Legal business name Grantham, Allie
Credentials MHR, LPC, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Oct 16th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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