DENISE EVYONNE ENGRAM


Address: 4723 S Ash Dr, Broken Arrow, OK 74011-3464
Phone: 9183139602

DENISE EVYONNE ENGRAM (NPI# 1144627233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144627233
Entity Type Individual
Full Name DENISE EVYONNE ENGRAM
Other Name DENIS EVYONNE LEE
Practice Address 4723 S Ash Dr
Broken Arrow
OK 74011-3464
Practice Telephone 9183139602
Mailing Telephone 9183139602
Enumeration Date 2014-12-04
Last Update Date 2014-12-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Office Location

Street Address 4723 S ASH DR
City BROKEN ARROW
State OK
Zip Code 74011-3464

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336663699 Cpii, LLC Pharmacy 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 2017-07-28
1053833608 Cpii, LLC Pharmacy 811 W. New Orleans, Suite 101, Broken Arrow, OK 74011 2017-07-14
1184079709 Melissa David Lactation Consultant, Non-RN 417 West San Diego St., Broken Arrow, OK 74011 2016-05-02
1154789576 Rebecca Young Registered Nurse 7801 S Oak Pl, Broken Arrow, OK 74011 2016-01-29
1942524061 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 751 W Tuscan St, 121st, Broken Arrow, OK 74011 2010-03-18
1174764336 Linda J. Russell Counselor 2446 W New Orleans St, Broken Arrow, OK 74011 2009-03-18
1851409080 Kim Lee Mcneal Dentist 3764 South Elm Place, Broken Arrow, OK 74011 2006-08-28
1669433249 Matthew E Ozment Optometrist 2500 West New Orleans, Broken Arrow, OK 74011 2006-03-31
1912275140 Courtney Brooke Willcoxon Pharmacist 4704 S Elm Pl, Broken Arrow, OK 74011 2011-12-02
1558322883 Gerald Seefeldt Family Medicine 66 Cedar Ridge Rd, Broken Arrow, OK 74011-1101 2006-03-28
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790301893 Second Chance Recovery Center, Inc. Substance Abuse Rehabilitation Facility 4238 Ne 1st St, Pryor, OK 74361-9614 2020-06-24
1912551805 Estelle Hawkins Substance Abuse Rehabilitation Facility 21227 N County Road 3350, Wynnewood, OK 73098-9356 2019-07-29
1902359391 Ryan Fitzpatrick Substance Abuse Rehabilitation Facility 7138 S Canton Ave, Tulsa, OK 74136-6303 2016-08-02
1609223866 Seven Ponds Energy LLC Dba Seven Ponds Residential Treatment Substance Abuse Rehabilitation Facility 1760 Blevins Rd., Bennington, OK 74723 2016-05-18
1679938534 Claudia Antoinette Parker Substance Abuse Rehabilitation Facility 301 Pointe Parkway Blvd Apt 706, Yukon, OK 73099-0641 2015-12-20
1184089328 Door 2 Ur Future Substance Abuse Rehabilitation Facility 1050 E 61st St Apt 89, Tulsa, OK 74136-1397 2015-12-15
1093127979 Kimberly Ann Kelly-lorenz Substance Abuse Rehabilitation Facility 163 Mohawk Dr, Canadian, OK 74425-9747 2014-05-27
1558783589 Vizown LLC Substance Abuse Rehabilitation Facility 24962 Okay Rd, Tecumseh, OK 74873-6504 2014-01-10
1104256684 Robert Watson Substance Abuse Rehabilitation Facility 111 W 5th St Ste 600, Tulsa, OK 74103-4260 2013-11-19
1417297680 Lavina Kay Clark Substance Abuse Rehabilitation Facility 126 E 6th St, Pawhuska, OK 74056-4204 2013-02-25
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Competitor

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City BROKEN ARROW
Zip Code 74011

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Dataset Information

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.

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