Shannon Ann Gray, BHCM I
Case Manager/Care Coordinator in Tulsa, OK. Individual provider (NPI-1).
NPI number1205366705
StatusActive
Last updated in NPPESJul 13, 2024
Details
- NPI
- 1205366705
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shannon Ann Gray
- Credential
- BHCM I
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2017
- Certification date
- Jul 13, 2024
- Last updated
- Jul 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | 311695 | OK | Yes |
Other names
- Shannon Ann Chaplin (Former Name)
Practice location
2121 S 125th E Ave Suite 106Tulsa, OK 74129-5115
Phone 918-574-8442
Mailing address
6104 E 128th St SBixby, OK 74008-2742
Phone 918-955-2030
Other practice locations
6104 E 128th St S
Bixby, OK 74008-2742
Bixby, OK 74008-2742
Phone 918-955-2030
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