LISA HARBISON (NPI# 1417218728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417218728 |
| Entity Type | Individual |
| Full Name | LISA HARBISON |
| Credential | BHRS |
| Practice Address |
7905 E Us Highway 66 El Reno OK 73036-9225 |
| Mailing Address |
4400 Buckhorn Ln El Reno OK 73036-7706 |
| Practice Telephone | 4052620202 |
| Mailing Telephone | 4056415551 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Street Address |
7905 E US HIGHWAY 66 |
| City | EL RENO |
| State | OK |
| Zip Code | 73036-9225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033304209 | Ronda Lynn Moss | Counselor | 7905 E Us Highway 66, El Reno, OK 73036-9225 | 2007-09-11 |
| 1699330779 | Kelli Norris | Case Manager/Care Coordinator | 7905 E Us Highway 66, El Reno, OK 73036-9225 | 2019-05-05 |
| 1477037844 | Katelynn Nixon | Case Management | 7905 E Us Highway 66, El Reno, OK 73036-9225 | 2018-09-20 |
| 1366924375 | Desiree Nicole Taylor | Counselor | 7905 E Us Highway 66, El Reno, OK 73036-9225 | 2018-09-06 |
| 1538668694 | Christa Leanne Hearon | Case Manager/Care Coordinator | 7905 E Us Highway 66, El Reno, OK 73036-9225 | 2018-02-05 |
| 1821527805 | Lene Cheryl Moya | Counselor | 7905 E Us Highway 66, El Reno, OK 73036-9225 | 2017-06-05 |
| 1023476066 | Canadian County Children's Justice Center | Substance Abuse Rehabilitation Facility | 7905 E Us Highway 66, El Reno, OK 73036-9225 | 2016-02-05 |
| 1386001204 | Robert Cole, Msm | Counselor | 7905 E Us Highway 66, El Reno, OK 73036-9225 | 2016-01-22 |
| 1730508482 | Krystal Rose | Case Manager/Care Coordinator | 7905 E Us Highway 66, El Reno, OK 73036-9225 | 2014-04-09 |
| 1043641939 | Jessica Arkeketa | Case Manager/Care Coordinator | 7905 E Us Highway 66, El Reno, OK 73036-9225 | 2013-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
| 1669934436 | Mikaila Marie Martin | Case Manager/Care Coordinator | 600 South Choctaw, El Reno, OK 73036 | 2019-04-02 |
| 1023573250 | Aja D'lin Woods | Counselor | 7777 E Rte 66, El Reno, OK 73036 | 2019-02-01 |
| 1033694229 | Matt Alan Matthews | Counselor | 7401-7799 Rte 66, El Reno, OK 73036 | 2018-10-03 |
| 1629553771 | Cierra Chapa | Registered Nurse | 600 S. Choctaw, El Reno, OK 73036 | 2018-09-25 |
| 1548766934 | Theresa Arlene Byard | Counselor | 7401-7799 E Us Hwy 66, El Reno, OK 73036 | 2018-04-04 |
| 1669991360 | Melissa Larimore | Counselor | 7565 E Hwy 66, El Reno, OK 73036 | 2017-09-13 |
| 1174045561 | Jordan Garcia | Counselor | 7565 E. Hwy 66, El Reno, OK 73036 | 2017-07-07 |
| 1073034179 | Starr L Johnson | Counselor | 7777 Rte 66, El Reno, OK 73036 | 2017-06-29 |
| 1295190593 | Roger Dale Wantland | Physical Therapist | 1901 Parkway Drive, Elreno, OK 73036 | 2015-12-31 |
| Find all providers in zip 73036 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801317821 | Substance Abuse Foundatiion for Educaiton | Substance Abuse Rehabilitation Facility | 1618 Se 59th St, Oklahoma City, OK 73129-7314 | 2017-06-29 |
| 1841681160 | April Esther Pahari | Substance Abuse Rehabilitation Facility | 2424 N Quebec Ave, Tulsa, OK 74115-3209 | 2015-02-09 |
| 1043630676 | Direct Care Counseling Services, LLC | Substance Abuse Rehabilitation Facility | 2200 Hardin Dr, Oklahoma City, OK 73111-1727 | 2014-04-22 |
| 1780939223 | Jack Brown Treatment Center | Substance Abuse Rehabilitation Facility | 17091 S Muskogee Ave, Tahlequah, OK 74465 | 2012-07-20 |
| 1932403276 | Franks | Substance Abuse Rehabilitation Facility | 402 S.w. Mass. Ave, Langston, OK 73050-0495 | 2010-12-30 |
| 1235458571 | Tjs Daycare | Substance Abuse Rehabilitation Facility | 2808 Ne 23rd St, Oklahoma City, OK 73121-2453 | 2010-05-26 |
| 1154520856 | White Horse Ranch | Substance Abuse Rehabilitation Facility | 1601 Wilkie Rd, Mooreland, OK 73852-8921 | 2007-07-12 |
| 1801014550 | Monarch, Inc | Substance Abuse Rehabilitation Facility | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2007-04-20 |
| 1851420384 | Tulsa Boys' Home | Substance Abuse Rehabilitation Facility | 2727 S 137th W Ave, Sand Springs, OK 74063-5017 | 2007-03-02 |
| 1184795338 | Four Winds Ranch Recovery Center for Adolescent Females L.L.C. | Substance Abuse Rehabilitation Facility | 501 N Santa Fe Rd, Guthrie, OK 73044-8982 | 2006-11-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LISA HARBISON.
| 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.