Hillary Beth Grantham | Oklahoma City, OK • PECOS Search

Hillary Beth Grantham

Counselor

Behavioral Health & Social Service Providers

416 SW 79th St, Ste. 201, Oklahoma City, OK 73139-8121

(405) 246-5433 (405) 209-1276

PECOS Enrollment

Based on the most recent information from CMS, provider Hillary Beth Grantham does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1841520384
Provider Type
Individual
Full Name
Grantham, Hillary Beth
Title
Mrs.
Credential
M.A., LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/6/2010
Last Updated
1/6/2010

Contact Information

Practice Location

416 SW 79th St, Ste. 201, Oklahoma City, OK 73139-8121

Unlisted Fax

Mailing Location

2728 NW 26th St, Oklahoma City, OK 73107-2234

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 3530 Oklahoma