MISS STEPHANIE DAWN HATHCOAT (NPI# 1184825523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184825523 |
| Entity Type | Individual |
| Full Name | MISS STEPHANIE DAWN HATHCOAT |
| Credential | CADC US |
| Practice Address |
1515 W Chickasaw Ave Sallisaw OK 74955-7201 |
| Mailing Address |
Po Box 2 Park Hill OK 74451-0002 |
| Practice Telephone | 9187752657 |
| Practice Fax Number | 9187750439 |
| Mailing Telephone | 9187752657 |
| Mailing Fax Number | 9187750439 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1515 W CHICKASAW AVE |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992834964 | Purvell Inc | Counselor | 1515 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2007-03-05 |
| 1659500460 | Martha Ann Jones | Counselor | 1515 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2009-07-14 |
| 1497993075 | Jana Lynn Hightower | Counselor | 1515 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2009-02-04 |
| 1376781054 | Vicki Lynn White | Counselor | 1515 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2009-02-03 |
| 1417104027 | Angela Denise Pack | Case Manager/Care Coordinator | 1515 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2008-08-26 |
| 1578737581 | Deborah Jewell Patton | Counselor | 1515 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2008-04-22 |
| 1780715375 | Alexander Borowski | Counselor | 1515 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2007-03-08 |
| 1205967890 | Denise Griffin | Counselor | 1515 W Chickasaw Ave, Sallisaw, OK 74955-7201 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639562168 | Behavioral Health Unlimited LLC | Counselor | 1450 Carson Road, Sallisaw, OK 74955-7080 | 2015-03-09 |
| 1568885614 | Betty Walters | Counselor | 702 S Walnut St, Sallisaw, OK 74955-6838 | 2014-01-27 |
| 1174946586 | Terry Collins | Counselor | 461824 E 1125 Rd, Sallisaw, OK 74955-5498 | 2014-01-22 |
| 1578848354 | Charles Lee Cones Jr. | Counselor | 1200 S Walnut St Apt 10, Sallisaw, OK 74955-6855 | 2011-10-12 |
| 1356622948 | Lynda Louise Chew | Counselor | 205 S J T Stites St, Sallisaw, OK 74955-9301 | 2011-09-09 |
| 1174142871 | James Alan Riggs | Counselor | 204 E Choctaw Ave, Sallisaw, OK 74955-4604 | 2020-04-13 |
| 1679098917 | Ava Lee Poindexter | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-08-08 |
| 1891210472 | Holli Deanna Reherman | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-08-04 |
| 1811446099 | Dena Pace | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2016-09-28 |
| 1497112502 | Stephanie Upchurch | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2016-01-20 |
| Find all providers in SALLISAW | ||||
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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.