MR. CLIFFORD DWAIN SANDERS (NPI# 1053658534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053658534 |
| Entity Type | Individual |
| Full Name | MR. CLIFFORD DWAIN SANDERS |
| Credential | LPC/LADC |
| Practice Address |
214 E Oak Ave Seminole OK 74868-3442 |
| Mailing Address |
24198 Brangus Rd Tecumseh OK 74873-7520 |
| Practice Telephone | 4053821112 |
| Mailing Telephone | 4055981761 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2014-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
798 | OK | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2874 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679772776 | Clifford Preston Sanders IIi | Technician/Technologist | 1336 Grove Park Dr, Orangeburg, SC 29115-2455 | 2007-07-17 |
| 1720416902 | Clifford Allison Sanders | Pharmacist | 2502 W Hillsborough Ave, Tampa, FL 33614-6130 | 2013-10-24 |
| Street Address |
214 E OAK AVE |
| City | SEMINOLE |
| State | OK |
| Zip Code | 74868-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639294044 | Tri-city Substance Abuse Center, Inc. | Counselor | 214 E Oak Ave, Seminole, OK 74868-3442 | 2007-03-21 |
| 1952763658 | Teresa Reeser | Counselor | 214 E Oak Ave, Seminole, OK 74868-3442 | 2016-03-22 |
| 1407245582 | Thea Dean | Counselor | 214 E Oak Ave, Seminole, OK 74868-3442 | 2015-01-13 |
| 1871911537 | Rachel Lea Kolander | Counselor | 214 E Oak Ave, Seminole, OK 74868-3442 | 2014-03-31 |
| 1639495211 | Norma Jean Beard | Student in an Organized Health Care Education/Training Program | 214 E Oak Ave, Seminole, OK 74868-3442 | 2010-04-08 |
| 1972731669 | Lawrence Pettway Howzw IIi | Counselor | 214 E Oak Ave, Seminole, OK 74868-3442 | 2009-07-01 |
| 1285806828 | Raye Hall | Counselor | 214 E Oak Ave, Seminole, OK 74868-3442 | 2008-03-24 |
| 1427247337 | Curtis Wesley Rawls | Counselor | 214 E Oak Ave, Seminole, OK 74868-3442 | 2007-10-16 |
| 1235356098 | Ray R Neal | Counselor | 214 E Oak Ave, Seminole, OK 74868-3442 | 2007-04-20 |
| 1396962544 | Tricity Substance Abuse Center | Counselor | 214 E Oak Ave, Seminole, OK 74868-3442 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396266 | Jennifer Leeann Richardson | Counselor | 35859 E.w. 1210, Seminole, OK 74868 | 2018-12-03 |
| 1518449461 | Dana Marie Hobbs | Counselor | 101 N Union, Seminole, OK 74868 | 2018-09-06 |
| 1790159382 | Carissa Nicole Kelley | Counselor | 2215 W. Wrangler Blvd. Apt. 135, Seminole, OK 74868 | 2015-11-19 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1528377066 | Lisa Young | Case Manager/Care Coordinator | 12880 Ns 358 Rd, Seminole, OK 74868 | 2010-10-01 |
| 1346567997 | Don Allen Mace | Internal Medicine | 2201 Northwood Ave, Seminole, OK 74868 | 2010-04-22 |
| 1508922295 | Medicus | Ambulance | 900 N. Harvey, Suite A, Seminole, OK 74868 | 2006-12-28 |
| 1538278411 | Quality Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 2005 W Wrangler Blvd, Seminole, OK 74868 | 2006-08-30 |
| 1922041151 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 760 N Harvey Rd, Seminole, OK 74868 | 2006-06-14 |
| 1760487243 | Tricia Lee Butner | Nurse Practitioner | 2403 W Wrangler Blvd Ste A, Seminole, OK 74868 | 2005-06-20 |
| Find all providers in zip 74868 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669948196 | Kirk J Murdock | Counselor | 10764 70th Ave Apt 3204, Seminole, FL 33772-6373 | 2018-10-23 |
| 1518449461 | Dana Marie Hobbs | Counselor | 101 N Union, Seminole, OK 74868 | 2018-09-06 |
| 1023525466 | Janis Dee Grooms | Counselor | 9160 Oakhurst Rd Ste 3b, Seminole, FL 33776 | 2018-01-08 |
| 1417409459 | Maria Erickson | Counselor | 11882 91st Ter, Seminole, FL 33772-2744 | 2016-10-25 |
| 1104209113 | Laura Eastman | Counselor | 7109 Augusta Blvd, Seminole, FL 33777-4531 | 2015-07-08 |
| 1912273715 | Kandi Spencer | Counselor | 8588 Starkey Rd Ste E, Seminole, FL 33777-2831 | 2012-03-26 |
| 1457653560 | Clara Mae Keawphalouk | Counselor | 1000 Reid St, Seminole, OK 74868-2204 | 2010-11-22 |
| 1164736278 | Traci Brenee Jackson | Counselor | 300 E. Seminole, Seminole, OK 74858 | 2010-07-30 |
| 1427370295 | Teresa Ann Skinner | Counselor | 7130 Seminole Blvd., Seminole Professional Centre, Seminole, FL 33772 | 2010-02-22 |
| 1508191081 | Melissa Wood | Counselor | 8873 Osprey Ln, Seminole, FL 33777-3351 | 2009-10-16 |
| Find all providers in SEMINOLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.