SHELIE RANAE VAUGHAN (NPI# 1346849759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346849759 |
| Entity Type | Individual |
| Full Name | SHELIE RANAE VAUGHAN |
| Other Name | SHELIE LASSWELL |
| Credential | BACHELOR PHYCOLOGY |
| Practice Address |
130 W Steve Owens Blvd Miami OK 74354-7629 |
| Mailing Address |
Po Box 1271 Miami OK 74355-1271 |
| Practice Telephone | 9186754100 |
| Mailing Telephone | 9186754100 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
130 W STEVE OWENS BLVD |
| City | MIAMI |
| State | OK |
| Zip Code | 74354-7629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780883751 | Andrea Dawn Cummings | Counselor | 130 W Steve Owens Blvd, Miami, OK 74354-7629 | 2007-07-11 |
| 1023624418 | Racheal Fisher | Counselor | 130 W Steve Owens Blvd, Miami, OK 74354-7629 | 2020-09-21 |
| 1710501994 | Cynthia Keeter | Counselor | 130 W Steve Owens Blvd, Miami, OK 74354-7629 | 2020-06-03 |
| 1013577139 | Justin Cicotte | Peer Specialist | 130 W Steve Owens Blvd, Miami, OK 74354-7629 | 2019-06-20 |
| 1902465636 | Michael Creekmore | Counselor | 130 W Steve Owens Blvd, Miami, OK 74354-7629 | 2019-06-06 |
| 1720574593 | Charlene Wilson-saffer | Counselor | 130 W Steve Owens Blvd, Miami, OK 74354-7629 | 2018-07-05 |
| 1891298519 | Richard Berryhill | Peer Specialist | 130 W Steve Owens Blvd, Miami, OK 74354-7629 | 2018-03-09 |
| 1437675618 | Michael Hillerman | Counselor | 130 W Steve Owens Blvd, Miami, OK 74354-7629 | 2017-08-18 |
| 1376963157 | William Tiffany | Counselor | 130 W Steve Owens Blvd, Miami, OK 74354-7629 | 2014-04-21 |
| 1760809180 | Terry Lake | Counselor | 130 W Steve Owens Blvd, Miami, OK 74354-7629 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786603 | Coal Creek Counseling, LLC | Social Worker | 204 D St Ne, Miami, OK 74354 | 2017-05-10 |
| 1164958567 | Yco Tulsa, Inc | Counselor | 1458 E Steve Owens Blvd, Miami, OK 74354 | 2017-05-04 |
| 1982064226 | Yco Tulsa, Inc | Clinic/Center | 1519 E Steve Owens Blvd, Miami, OK 74354 | 2016-02-29 |
| 1548641285 | Courtney Marie Winfrey | Occupational Therapy Assistant | 310 2nd Ave Sw Fl 3, Miami, OK 74354 | 2015-06-17 |
| 1417338039 | Michelle Dawn Johnson | Case Manager/Care Coordinator | 1519 E. Steve Owens Blvd, Miami, OK 74354 | 2015-06-10 |
| 1790100337 | Jordan Taylor-threet | Speech-Language Pathologist | 2225 N. Main St., Miami, OK 74354 | 2014-02-19 |
| 1700137551 | Miami Healthcare, LLC | Skilled Nursing Facility | 2530 North Elm St., Miami, OK 74354 | 2012-09-19 |
| 1144507534 | Julia Brown | Pharmacist | 11 West Central, Miami, OK 74354 | 2011-11-14 |
| 1841504685 | Dodie A Giles Keith | Counselor | 33 C Street Northeast, Miami, OK 74354 | 2010-08-04 |
| 1013221571 | Katherine Renee Burke | Counselor | 111 S. Treaty Rd., Miami, OK 74354 | 2010-07-27 |
| Find all providers in zip 74354 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739337 | Lidia Alejandra Martinez | Counselor | 17250 Sw 192nd St, Miami, FL 33187-5101 | 2020-08-03 |
| 1437787199 | Taylor J Magri | Counselor | 58 Ne 14th St Apt 2622, Miami, FL 33132-1472 | 2020-03-30 |
| 1841835105 | Sashana Leslie | Counselor | 500 Nw 165th Street Rd # 100, Miami, FL 33169-6306 | 2019-11-11 |
| 1730692252 | 2nd Chance At Life, LLC | Counselor | 10425 Nw 2nd Ct, Miami, FL 33150-1128 | 2017-11-06 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1700327608 | Yusley Perez | Counselor | 14484 Sw 174th St, Miami, FL 33177-6637 | 2017-03-13 |
| 1699121855 | Lizette Marie Lopez | Counselor | 10631 N Kendall Dr Ste 155, Miami, FL 33176-1559 | 2016-05-06 |
| 1932574308 | Sunshine Behavior Center, Inc | Counselor | 9600 Sw 8th St Ste 1, Miami, FL 33174 | 2015-12-09 |
| 1841662764 | Rey Santana | Counselor | 9290 Sunset Dr, Suite # 106, Bldg. #2, Miami, FL 33173-3236 | 2015-10-30 |
| 1508263682 | Gema Yudit Der Rohe-borghese | Counselor | 2965 Sw 16th St, Miami, FL 33145-1143 | 2014-12-04 |
| Find all providers in MIAMI | ||||
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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.