REFUGE BEHAVIORAL HEALTH PLLC (NPI# 1104193093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104193093 |
| Entity Type | Organization |
| Organization Name | REFUGE BEHAVIORAL HEALTH PLLC |
| Practice Address |
201 S Murray St Tishomingo OK 73460-2224 |
| Practice Telephone | 5803710321 |
| Practice Fax Number | 1580371031 |
| Mailing Telephone | 5803710321 |
| Mailing Fax Number | 1580371031 |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2012-09-24 |
| Authorized Official Name | MR. TYSON MIDDLE RATZLAFF (OWNER) |
| Authorized Official Telephone | 5802728012 |
| Authorized Official Credential | M.ED, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 4255 | OK | Ambulatory Health Care Facilities |
| Street Address |
201 S MURRAY ST |
| City | TISHOMINGO |
| State | OK |
| Zip Code | 73460-2224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558989806 | Abbey Nixon | Counselor | 201 S Murray St, Tishomingo, OK 73460-2224 | 2020-07-13 |
| 1164044848 | Shelby Lynn Eason | Case Manager/Care Coordinator | 201 S Murray St, Tishomingo, OK 73460-2224 | 2020-05-15 |
| 1134600539 | Allison Leonard | Counselor | 201 S Murray St, Tishomingo, OK 73460-2224 | 2018-08-23 |
| 1770903908 | Clinton Hill | Counselor | 201 S Murray St, Tishomingo, OK 73460-2224 | 2014-04-28 |
| 1962837526 | Linda Reed | Behavioral Analyst | 201 S Murray St, Tishomingo, OK 73460-2224 | 2013-09-13 |
| 1558706499 | Lindsay Ratzlaff | Counselor | 201 S Murray St, Tishomingo, OK 73460-2224 | 2013-05-06 |
| 1588923965 | Chelsea Hull | Counselor | 201 S Murray St, Tishomingo, OK 73460-2224 | 2012-05-07 |
| 1295093706 | Elizabeth Jade Eason | Counselor | 201 S Murray St, Tishomingo, OK 73460-2224 | 2012-05-03 |
| 1679842421 | Ashley Dawn Rogers | Counselor | 201 S Murray St, Tishomingo, OK 73460-2224 | 2011-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
| 1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1811231939 | Wanda Luann Beesley Gray | Emergency Medical Technician, Paramedic | 3100 E St Hwy 78, Tishomingo, OK 73460 | 2012-11-15 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
| Find all providers in zip 73460 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912965898 | Victory Health Clinic LLC | Clinic/Center | 714 E Main St, Tishomingo, OK 73460-2350 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275471 | Osu Center for Health Sciences | Clinic/Center | 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 | 2020-11-06 |
| 1427662170 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 | 2020-09-01 |
| 1154949642 | Osu Center for Health Sciences | Clinic/Center | 140 W 151st St S, Glenpool, OK 74033-4523 | 2020-07-10 |
| 1235757071 | Equality Health Group LLC | Clinic/Center | 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 | 2020-07-08 |
| 1538785985 | Stars and Stripes Therapy Inc. | Clinic/Center | 713 Sw C Ave Ste A, Lawton, OK 73501-4311 | 2020-06-22 |
| 1265058101 | Taylor Medical Group, LLP | Clinic/Center | 735 W Locust St, Stilwell, OK 74960-3403 | 2020-06-16 |
| 1891317731 | Sparks Medical Consulting LLC | Clinic/Center | 1604 Sw 38th St, Moore, OK 73160-2953 | 2020-05-14 |
| 1093341844 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 | 2020-03-12 |
| 1255964128 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 | 2020-02-19 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
| City | TISHOMINGO |
| Zip Code | 73460 |
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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.