ANGELA DIANE MILLER MACK - NPI 1205614161 - Case Manager/Care Coordinator in Boley, OK

Q: What is Angela Miller Mack's NPI number?

The NPI number for Angela Miller Mack is 1205614161. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Q: What is Angela Miller Mack's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

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About Angela Diane Miller Mack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA DIANE MILLER MACK (NPI 1205614161) is an individual case manager/care coordinator provider in Boley, Oklahoma and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1205614161

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameANGELA DIANE MILLER MACK

Location Address2 MILES EAST OF BOLEY ON HWY 62Boley, OK 74829

Mailing AddressPo Box 218Boley, OK 74829-0218 · (918) 667-3367 · Fax (918) 667-3367

Phone(918) 667-3367

Fax(918) 667-3367

Sole ProprietorNo

Enumeration DateSeptember 20, 2023

NPPES CertifiedSeptember 19, 2023

✔ NPI 1205614161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2 MILES EAST OF BOLEY ON HWY 62, Boley, OK 74829

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Other Identifiers 2

Medicaid100685600DOK

Medicaid1006856600AOK

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS MARK KELTNER

Counselor (Mental Health)