PREMIER FAMILY LIFE & TREATMENT CENTER, LLC (NPI# 1598959736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598959736 |
| Entity Type | Organization |
| Organization Name | PREMIER FAMILY LIFE & TREATMENT CENTER, LLC |
| Practice Address |
1314 W Evergreen St Durant OK 74701-4726 |
| Practice Telephone | 5809319973 |
| Practice Fax Number | 5809241176 |
| Mailing Telephone | 5809319973 |
| Mailing Fax Number | 5809241176 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |
| Authorized Official Name | MS. DELOIS J PHILLIPS (PRESIDENT/CEO) |
| Authorized Official Telephone | 5809319973 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 3445 | OK | Agencies |
| Street Address |
1314 W EVERGREEN ST |
| City | DURANT |
| State | OK |
| Zip Code | 74701-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565512 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 324 N Washington Ave, Durant, OK 74701-3642 | 2019-12-16 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1093131328 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 127 North 3rd Avenue, Durant, OK 74701-0000 | 2014-03-11 |
| 1588951735 | Hartsell Psychological Services, Inc. | Community/Behavioral Health | 1604 N Washington, Durant, OK 74701 | 2011-07-07 |
| 1831409440 | Center for Psychological Development, Inc. | Community/Behavioral Health | 142 West Main Street, Durant, OK 74701 | 2010-10-15 |
| 1568587095 | Kiamichi Council On Alcoholism and Or Other Drug Abuse, Inc. | Community/Behavioral Health | 307 W Elm St, Suite 1, Durant, OK 74701-4109 | 2007-03-21 |
| 1982766739 | Hands of Hope, Inc. | Community/Behavioral Health | 4310 W University Blvd, Durant, OK 74701-4577 | 2006-12-15 |
| 1013092626 | Lifespan Counseling Professionals | Community/Behavioral Health | 212 W Evergreen St, Durant, OK 74701-4710 | 2006-10-25 |
| 1093349003 | Mental Health Service of Southern Oklahoma | Community/Behavioral Health | 2425 W University Blvd, Durant, OK 74701-2942 | 2020-02-28 |
| 1194114801 | Inspire Counseling & Psychological Services, LLC | Community/Behavioral Health | 114 S 7th Ave, Durant, OK 74701-5017 | 2015-01-19 |
| Find all providers in DURANT | ||||
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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.