MRS. BRENDA GAYLE CHADWICK-LIECHTI (NPI# 1588793780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588793780 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA GAYLE CHADWICK-LIECHTI |
| Other Name | MRS. BRENDA GAYLE CHADWICK-LIECHTI |
| Credential | M.S.C., LPC, CM-A |
| Practice Address |
2000 E Lincoln Rd Idabel OK 74745-7353 |
| Mailing Address |
1101 E Monroe Ave Mcalester OK 74501-4815 |
| Practice Telephone | 5802866639 |
| Practice Fax Number | 5802865206 |
| Mailing Telephone | 9184267800 |
| Mailing Fax Number | 9184265526 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| 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 |
2000 E LINCOLN RD |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-7353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174619 | Jessika Rena Jones | Counselor | 2000 E Lincoln Rd, Idabel, OK 74745-7353 | 2020-11-05 |
| 1396386033 | Tiffany Norton | Case Manager/Care Coordinator | 2000 E Lincoln Rd, Idabel, OK 74745-7353 | 2019-10-03 |
| 1538666920 | Becky Laverne Eeds | Case Manager/Care Coordinator | 2000 E Lincoln Rd, Idabel, OK 74745-7353 | 2018-04-11 |
| 1033536925 | Bethany Stewart | Registered Nurse | 2000 E Lincoln Rd, Idabel, OK 74745-7353 | 2014-03-28 |
| 1558654194 | Theresa Ann Maderer | Registered Nurse | 2000 E Lincoln Rd, Idabel, OK 74745-7353 | 2011-05-16 |
| 1376847459 | Debra Ann Livergood | Registered Nurse | 2000 E Lincoln Rd, Idabel, OK 74745-7353 | 2011-01-04 |
| 1538480157 | Annjavetta D. Johnson | Counselor | 2000 E Lincoln Rd, Idabel, OK 74745-7353 | 2010-06-17 |
| 1790982015 | Cindy Lee Pickett | Counselor | 2000 E Lincoln Rd, Idabel, OK 74745-7353 | 2007-06-29 |
| 1336267202 | Brandi Lynn Ferguson | Counselor | 2000 E Lincoln Rd, Box 1527, Idabel, OK 74745-7353 | 2007-03-27 |
| 1225152259 | Mary Jacque Ishcomer | Counselor | 2000 E Lincoln Rd, Idabel, OK 74745-7353 | 2007-03-16 |
| 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 |
| 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 |
| 1902197304 | Rebecca Rose Clouse | Counselor | 17 S Central Ave, Idabel, OK 74745-4625 | 2011-04-20 |
| Find all providers in IDABEL | ||||
Please comment or provide details below to improve the information on MRS. BRENDA GAYLE CHADWICK-LIECHTI.
| 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.