BENJAMIN LLANOS (NPI# 1447487640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447487640 |
| Entity Type | Individual |
| Full Name | BENJAMIN LLANOS |
| Credential | MS, LADC U/S |
| Practice Address |
1719 Sw 11th Lawton OK 73501 |
| Mailing Address |
112 W. Main Purcell OK 73080 |
| Practice Telephone | 5805811818 |
| Practice Fax Number | 5805811819 |
| Mailing Telephone | 4055271785 |
| Mailing Fax Number | 4055271084 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2010-11-29 |
| Gender Code | M |
| 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 |
1719 SW 11TH |
| City | LAWTON |
| State | OK |
| Zip Code | 73501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| 1528273604 | Harlan L Ross Jr. | Counselor | 1719 S.w. 11th, Lawton, OK 73501 | 2007-05-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811557200 | Inertia Services LLC | Counselor | 1311 Sw Washington Ave, Lawton, OK 73501-7231 | 2019-06-18 |
| 1992179923 | Sonya Ann Smalley | Counselor | 214 Nw 44th St Apt 214f, Lawton, OK 73505-6047 | 2015-11-13 |
| 1598107179 | Cynthia Blackwell | Counselor | 702 Nw Homestead Dr, Lawton, OK 73505-5205 | 2013-07-23 |
| 1033456355 | Southern Oklahoma Treatment Services | Counselor | 1307 Sw Washington Ave, Lawton, OK 73501-7231 | 2013-01-07 |
| 1356619431 | Jaynee Marie Nelson | Counselor | 2305 Sw H Ave, 1, Lawton, OK 73505-8103 | 2011-12-05 |
| 1720307135 | Muhammad Ali | Counselor | 5326 Nw Elm Ave, Lawton, OK 73505-4622 | 2010-05-25 |
| 1063734952 | Marion Stelly | Counselor | 5 Nw 27th St, Lawton, OK 73505-6209 | 2010-02-19 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1184950693 | Krystal Meredith Lewis | Counselor | 605 W Gore Blvd Ste 1, Lawton, OK 73501-3732 | 2009-10-19 |
| 1154506137 | Glenda Faye Haynes | Counselor | 411 W Gore Blvd, Lawton, OK 73501-3710 | 2008-01-08 |
| Find all providers in LAWTON | ||||
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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.