E JEANNETTE CONWAY (NPI# 1578774386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578774386 |
| Entity Type | Individual |
| Full Name | E JEANNETTE CONWAY |
| Credential | LPC |
| Practice Address |
17 S Central Ave Idabel OK 74745-4625 |
| Mailing Address |
406 Ne 4th St Antlers OK 74523-3236 |
| Practice Telephone | 5802865184 |
| Practice Fax Number | 5802865185 |
| Mailing Telephone | 5802392228 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3487 | OK | Behavioral Health & Social Service Providers |
| Street Address |
17 S CENTRAL AVE |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821189671 | The Mental Health Center, Inc | Clinic/Center | 17 S Central Ave, Idabel, OK 74745-4625 | 2006-09-27 |
| 1194256420 | Dragonfly Counseling Services, LLC | Community/Behavioral Health | 17 S Central Ave, Idabel, OK 74745-4625 | 2017-03-27 |
| 1194127571 | David Thomas Rogers | Student in an Organized Health Care Education/Training Program | 17 S Central Ave, Idabel, OK 74745-4625 | 2014-09-17 |
| 1922438761 | Cheryl Hall | Specialist | 17 S Central Ave, Idabel, OK 74745-4625 | 2013-11-14 |
| 1720334782 | Jennifer Nicole Skieens | Specialist | 17 S Central Ave, Idabel, OK 74745-4625 | 2012-07-27 |
| 1023373453 | Tina Simer | Counselor | 17 S Central Ave, Idabel, OK 74745-4625 | 2012-07-11 |
| 1154686160 | Lashay Mickle Sims | Counselor | 17 S Central Ave, Idabel, OK 74745-4625 | 2012-07-06 |
| 1548536626 | Mya Dawn Mcbrayer | Case Manager/Care Coordinator | 17 S Central Ave, Idabel, OK 74745-4625 | 2012-03-22 |
| 1346514551 | Shiane Danielle Shelton | Case Manager/Care Coordinator | 17 S Central Ave, Idabel, OK 74745-4625 | 2012-03-06 |
| 1295005460 | Vanessa M Burris | Case Manager/Care Coordinator | 17 S Central Ave, Idabel, OK 74745-4625 | 2012-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1720457203 | Leann Tomlinson | Registered Nurse | 2002 E Lincoln Rd, Idabel, OK 74745 | 2015-09-15 |
| 1659795508 | Laura Rush | Optometrist | 902 Lincoln Road, Idabel, OK 74745 | 2014-02-13 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1841576725 | Ayesha Shante Wyatt | Nurse's Aide | 1800 Hillcrest, Idabel, OK 74745 | 2011-10-24 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1417103854 | John Hoskins | Internal Medicine | 902 Lincoln Rd, Choctaw Nation Health Clinic, Idabel, OK 74745 | 2008-08-18 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| Find all providers in zip 74745 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932569233 | Dee Anne Crusoe | Counselor | 511 Se Ave G, Idabel, OK 74745-6220 | 2016-02-29 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1417217308 | Yolanda Renee Bailey | Counselor | 703 Se Ave G, Idabel, OK 74745-7609 | 2012-05-24 |
| 1356600050 | Frankie Mae Scales | Counselor | 1810 Larosa St, Idabel, OK 74745-2517 | 2012-05-15 |
| 1629394432 | Tristan Griffin | Counselor | 116 Se Ave N, Idabel, OK 74745-5234 | 2010-04-19 |
| 1588793780 | Brenda Gayle Chadwick-liechti | Counselor | 2000 E Lincoln Rd, Idabel, OK 74745-7353 | 2007-03-05 |
| 1679174619 | Jessika Rena Jones | Counselor | 2000 E Lincoln Rd, Idabel, OK 74745-7353 | 2020-11-05 |
| 1871080424 | Ann Marie Treser-stephens | Counselor | 411 S Central Ave, Idabel, OK 74745-6059 | 2018-04-19 |
| 1285909564 | Elizabeth R Messick | Counselor | 4 Se Ave A, Idabel, OK 74745-4620 | 2012-03-20 |
| 1619256245 | Catherine Bruce | Counselor | 4 Se Ave A, Idabel, OK 74745-4620 | 2011-08-13 |
| Find all providers in IDABEL | ||||
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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.