MR. CHRIS LAMONT DOUGLAS (NPI# 1265518526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265518526 |
| Entity Type | Individual |
| Full Name | MR. CHRIS LAMONT DOUGLAS |
| Credential | MASTER SOCIAL WORK |
| Practice Address |
14625 Ne 23rd Street Choctaw OK 73020 |
| Mailing Address |
Po Box 695 Choctaw OK 73020-0695 |
| Practice Telephone | 4053908131 |
| Practice Fax Number | 4053908134 |
| Mailing Telephone | 4053908131 |
| Mailing Fax Number | 4053908134 |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
14625 NE 23RD STREET |
| City | CHOCTAW |
| State | OK |
| Zip Code | 73020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023155645 | Jack L. Fortenberry | Counselor | 14625 Ne 23rd Street, Choctaw, OK 73020 | 2007-01-31 |
| 1598802126 | Vernon L Pierce | Counselor | 14625 Ne 23rd Street, Choctaw, OK 73020 | 2007-01-31 |
| 1629115266 | Robert K Corley | Counselor | 14625 Ne 23rd Street, Choctaw, OK 73020 | 2007-01-31 |
| 1417094988 | Mendi J Mills | Counselor | 14625 Ne 23rd Street, Choctaw, OK 73020-0695 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033666151 | Healthcare Express, LLP | Clinic/Center | 14321 Ne 23rd Street, Choctaw, OK 73020 | 2016-09-07 |
| 1497123798 | Steven Kyle Toelle | Counselor | 14700 Ne 50th Street, Choctaw, United States, OK 73020 | 2015-09-03 |
| 1295126936 | Maria Caram | Behavioral Analyst | 8525 Bella Circle, Choctaw, OK 73020 | 2015-02-17 |
| 1881948859 | Michaelanne Kelly | Physical Therapy Assistant | 1880 N Triple X Rd, Choctaw, OK 73020 | 2012-10-30 |
| 1508189465 | Helen Marie Allred | Counselor | 14453 Se 29th Street, Ste D, Choctaw, OK 73020 | 2010-03-08 |
| 1497944524 | Jaimie Sue Wright | Counselor | 14455 Steele Dr, Choctaw, OK 73020 | 2007-10-15 |
| 1972794949 | Jill Mechelle Loveless | Pharmacist | 2350 N Harper St, Choctaw, OK 73020 | 2007-08-06 |
| 1972719615 | Mary Neely Clayton | Dentist | 2408 N Main, Choctaw, OK 73020 | 2007-05-16 |
| 1215061486 | Belaben B Patel | Counselor | 14625 Ne3rd, Choctaw, OK 73020 | 2007-03-16 |
| 1740314129 | Tracy Ann Gasbarra | Dentist | 2401 N Henney Rd, Choctaw, OK 73020 | 2007-03-15 |
| Find all providers in zip 73020 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346750072 | Mercedes Alvarado | Counselor | 14651 E Reno Ave, Choctaw, OK 73020-7540 | 2017-10-09 |
| 1134522337 | Shaletha Jackson | Counselor | 12834 Se 19th St, Choctaw, OK 73020-6624 | 2014-10-01 |
| 1659797223 | Elizabeth Jamison | Counselor | 15661 Ne 36th St, Choctaw, OK 73020-9016 | 2014-03-06 |
| 1679832133 | Shireen M Smith | Counselor | 14453 Se 29th St Ste D, Choctaw, OK 73020-6543 | 2012-05-03 |
| 1013245364 | Michelle Lee Fox | Counselor | 13071 Fairway Dr, Choctaw, OK 73020-8147 | 2009-11-25 |
| 1144341942 | Nicole D Pitre | Counselor | 554 Mallard Ln, Choctaw, OK 73020-7182 | 2007-04-02 |
| 1215061486 | Belaben B Patel | Counselor | 14625 Ne3rd, Choctaw, OK 73020 | 2007-03-16 |
| 1881775211 | Tri-city Youth & Family Center, Inc. | Counselor | 14625 Ne 23rd St, Choctaw, OK 73020-8728 | 2006-10-19 |
| 1740845361 | Poyner Mental Health Services | Counselor | 14453 Se 29th St Ste D, Choctaw, OK 73020-6543 | 2019-05-08 |
| 1114427267 | Kimberly Woodhouse | Counselor | 14453 Se 29th St, Suite D, Choctaw, OK 73020 | 2018-02-15 |
| Find all providers in CHOCTAW | ||||
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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.