Mayes, Glenannetta

Mayes, Glenannetta is an sole proprietor health care provider with primary practice located at 1402 Maxey Dr , Muskogee OK 74403-1101. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Mayes, Glenannetta can be contacted via phone (918) 616-6968.

Contact Information

Primary practice address
1402 Maxey Dr Muskogee OK 74403-1101
Phone: (918) 616-6968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 0089870 Oklahoma
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1003586157
LBN Legal business name Mayes, Glenannetta
Credentials LPC-C, BSN, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2021
Last updated Apr 19th, 2024 - about 8 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003586157 NPPES
Oklahoma MEDICAID 201128730B

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