VICKIE JUNE GODWIN (NPI# 1104961325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104961325 |
Entity Type | Individual |
Full Name | VICKIE JUNE GODWIN |
Credential | LMFT |
Practice Address |
400 E Sycamore St Hollis OK 73550-1436 |
Practice Telephone | 5806882800 |
Practice Fax Number | 5806882193 |
Mailing Telephone | 5806882800 |
Mailing Fax Number | 5806882193 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2019-03-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 1020 | OK | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1108 S Mockingbird Ln, Skiatook, OK 740701728 | 9183980824 | 9183980824 |
Street Address |
400 E SYCAMORE ST |
City | HOLLIS |
State | OK |
Zip Code | 73550-1436 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619081189 | William Paul Estes | Dentist | 400 E Sycamore St, Hollis, OK 73550-1436 | 2006-08-19 |
1134744469 | Justin Cade Cole | Pharmacist | 400 E Sycamore St, Hollis, OK 73550-1436 | 2020-06-12 |
1114391315 | Kimberly Yvette Hestand | Nurse Practitioner | 400 E Sycamore St, Hollis, OK 73550 | 2015-11-25 |
1710316476 | Leeann Boyles Stanford | Nurse Practitioner | 400 E Sycamore St, Hollis, OK 73550-1436 | 2013-11-04 |
1639415581 | Lacy Elizabeth Moon | Counselor | 400 E Sycamore St, Hollis, OK 73550-1436 | 2012-12-21 |
1255695201 | Shortgrass Community Health Center, Inc | Clinic/Center | 400 E Sycamore St, Hollis, OK 73550-1436 | 2012-06-25 |
1366654147 | Harmon County Healthcare Authority | Nursing Facility/Intermediate Care Facility | 400 E Sycamore St, Hollis, OK 73550-1436 | 2007-05-04 |
1831319334 | Bridget A Moss | Nurse Practitioner | 400 E Sycamore St, Hollis, OK 73550-1436 | 2007-04-26 |
1033252804 | William J Kok | Family Medicine | 400 E Sycamore St, Hollis, OK 73550-1436 | 2007-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689121147 | Amy Michelle Ashcraft | Nurse Practitioner | 920 N 8th, Hollis, OK 73550 | 2016-09-01 |
1366611824 | Blackhawk Mangum, LLC | Clinic/Center | 513 East Chestnut, Hollis, OK 73550 | 2008-02-28 |
1609857754 | Akram R. Abraham | Family Medicine | 920 N 8th St, Hollis, OK 73550-2026 | 2005-11-07 |
1922629138 | Stormy Dawn Smith | Nurse Practitioner | 920 N 8th St, Hollis, OK 73550-2026 | 2020-04-28 |
1376953943 | Sharon Ann Bowen | Clinical Nurse Specialist | 920 N 8th St, Hollis, OK 73550-2026 | 2014-05-05 |
1811327836 | Beverly Cooper | Nurse Practitioner | 920 N 8th St, Hollis, OK 73550-2026 | 2013-11-13 |
1225210248 | Akram R. Abraham, M.d.pc | Family Medicine | 920 N 8th St, Hollis, OK 73550-2026 | 2007-11-30 |
1043213010 | Southwest Oklahoma Ambulance Authority | Ambulance | 400 E Chestnut St, Hollis, OK 73550-2030 | 2005-05-24 |
1700138336 | Harmon County Healthcare Authority | Clinic/Center | 400 E Chestnut St, Hollis, OK 73550-2030 | 2012-10-05 |
1003094129 | Jackson County Memorial Hospital Authority | General Acute Care Hospital | 400 E Chestnut St, Hollis, OK 73550-2030 | 2008-01-31 |
Find all providers in zip 73550 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073110110 | Leah Grace Johnson | Marriage & Family Therapist | 14813 Moon Daisy Dr, Edmond, OK 73013-1466 | 2020-10-01 |
1952914319 | Jason Odegaard | Marriage & Family Therapist | 9900 Broadway Ext Ste 100, Oklahoma City, OK 73114-6323 | 2020-08-26 |
1033727581 | Jennifer Baker, Lmft, LLC | Marriage & Family Therapist | 6425 Nw Cache Rd Ste 215, Lawton, OK 73505-3393 | 2020-07-21 |
1407464803 | Dhp Centers Ok LLC | Marriage & Family Therapist | 505 W Vandament Ave Ste B, Yukon, OK 73099-4663 | 2020-07-21 |
1760022412 | Rachel Henry | Marriage & Family Therapist | 5550 S Lewis Ave Ste 305, Tulsa, OK 74105-7118 | 2020-01-10 |
1912540204 | Pamela Kim Mahn | Marriage & Family Therapist | 15708 Val Ct, Edmond, OK 73013-1799 | 2019-10-20 |
1215491758 | Jeanine Ridener | Marriage & Family Therapist | 9212 N Kelley Ave Ste 200, Oklahoma City, OK 73131-2419 | 2019-01-29 |
1588137582 | Marie Abraham-robinson | Marriage & Family Therapist | 4806 N Perkins Rd # 3, Stillwater, OK 74075-1701 | 2019-01-02 |
1497221634 | Kelsie Ann Krupitzer | Marriage & Family Therapist | 709 Sw 119th St Ste B, Oklahoma City, OK 73170-6080 | 2018-10-15 |
1992297196 | Catherine Elisabeth Wolf | Marriage & Family Therapist | 232 Sunset Dr, Tulsa, OK 74114-1240 | 2018-06-04 |
Find all providers with the same taxonomy |
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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.