MS. MYRIA ETTIE GIBSON (NPI# 1265451520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265451520 |
| Entity Type | Individual |
| Full Name | MS. MYRIA ETTIE GIBSON |
| Credential | MS, LPC |
| Practice Address |
27b Street Sw Suite #100 Ardmore OK 73401 |
| Mailing Address |
Po Box 5775 Ardmore OK 73403-0775 |
| Practice Telephone | 9183886224 |
| Practice Fax Number | 9183886456 |
| Mailing Telephone | 5804909192 |
| Mailing Fax Number | 5804909194 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2638 | OK | Behavioral Health & Social Service Providers |
| Street Address |
27B STREET SW SUITE #100 |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903195 | Alexandra Johnson | Counselor | 801 Biddle St, Ardmore, PA 19003-2013 | 2019-10-15 |
| 1699290973 | Andrean Pittmancounseling Pllc | Counselor | 301 W Main St Ste 402, Ardmore, OK 73401-6322 | 2017-08-08 |
| 1154864247 | Renee Suzanne Downey | Counselor | 63 W. Lancaster Ave., Suite 2, Ardmore, PA 19003 | 2016-11-22 |
| 1609325109 | Karolina Lazarov | Counselor | 29 W Lancaster Ave Ste 201, Ardmore, PA 19003-1408 | 2016-09-25 |
| 1578864385 | Kristi Maxwell | Counselor | 308 S Commerce St, Ardmore, OK 73401-5009 | 2010-11-10 |
| 1073824991 | Bloom Counseling, PC | Counselor | 3113 Woodside Dr, Ardmore, OK 73401-9118 | 2010-06-25 |
| 1699004390 | Brenda G. Jagger | Counselor | 220 1/2 W Main St Ste D, Ardmore, OK 73401-6316 | 2009-12-09 |
| 1699001305 | Lisa Smith | Counselor | 2502 Crossroads Dr Ste A, Ardmore, OK 73401-2503 | 2009-10-30 |
| 1548595366 | Sharie Blankenship | Counselor | 1495 Mary Niblack Rd, Ardmore, OK 73401-9495 | 2009-10-13 |
| 1306077052 | Tara Dawn Campbell | Counselor | 29 B St Sw, Ardmore, OK 73401-6418 | 2009-07-29 |
| Find all providers in ARDMORE | ||||
Please comment or provide details below to improve the information on MS. MYRIA ETTIE GIBSON.
| 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.