MRS. SONYA DAVIDSON (NPI# 1609123892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609123892 |
| Entity Type | Individual |
| Full Name | MRS. SONYA DAVIDSON |
| Credential | CADC UNDERSUPERVISIO |
| Practice Address |
17091 S Muskogee Ave Tahlequah OK 74465-0000 |
| Mailing Address |
Po Box 397 Park Hill OK 74451-0397 |
| Practice Telephone | 9184535504 |
| Mailing Telephone | 9184535504 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |
| Gender Code | F |
| 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 |
17091 S MUSKOGEE AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74465-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780939223 | Jack Brown Treatment Center | Substance Abuse Rehabilitation Facility | 17091 S Muskogee Ave, Tahlequah, OK 74465 | 2012-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437396850 | Jack Brown Center | Substance Abuse Rehabilitation Facility | 17091 South Muskogee Avenue, Tahlequah, OK 74465 | 2009-01-08 |
| 1821287962 | Cornerstone Home Health Care | Home Health | 1699 West Fourth Street, Tahlequah, OK 74465 | 2007-10-15 |
| 1144414764 | Adam Carroll Cothran | Social Worker | 17675 S. Muskogee Ave., Tahlequah, OK 74465 | 2007-08-28 |
| 1194895441 | Eeg Corporation | Psychiatry & Neurology | 1400 E Downing, Tahlequah, OK 74465 | 2006-11-08 |
| 1700951050 | Harold Earl Goldman | Pediatrics | 1400 E Downing, Tahlequah, OK 74465 | 2006-11-22 |
| 1508987959 | State of Oklahoma; Dba:bill Willis Community Mental Health Center | Clinic/Center | 1400 S. Hensley Dr, Tahlequah, OK 74465-0558 | 2007-04-03 |
| 1386914646 | Debra Lee Johnson | Case Manager/Care Coordinator | 17091 South Muskogee Avenue, Cherokee Nation, Tahlequah, OK 74465-0948 | 2012-01-04 |
| 1770937229 | Talking Leaves Job Corps | Psychologist | 5700 Bald Hill Road, Tahlequah, OK 74465-1066 | 2016-04-21 |
| 1689909574 | Lori Elizabeth Medina | Counselor | 17091 S. Muskogee, Tahlequah, OK 74465-4405 | 2009-10-09 |
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679105068 | Audrey June Halfacre | Counselor | 4803 Ridge St, Tahlequah, OK 74464-5644 | 2020-02-04 |
| 1194008698 | Kerby Behavioral Development, Pllc | Counselor | 402 Janet St, Tahlequah, OK 74464-7028 | 2011-09-21 |
| 1376847087 | Dana Freeman | Counselor | 1276 S. Muskogee Ave., Tahlequah, OK 74464 | 2011-01-10 |
| 1811291586 | Ben B Barnett | Counselor | 17091 S. Muskogee Ave., Tahlequah, OK 74464 | 2011-01-10 |
| 1124338272 | Kathy Hampton-swaffar | Counselor | 1200 W 4th St Ste D, Tahlequah, OK 74464-5013 | 2010-10-07 |
| 1316253586 | Sadie Terecy Blum | Counselor | 1 Plaza South St, Tahlequah, OK 74464-4750 | 2010-08-26 |
| 1316198666 | Kendall D Dean | Counselor | 108 N Lena Ave, Tahlequah, OK 74464-3327 | 2008-10-06 |
| 1386801942 | Levi Taylor Keehler | Counselor | 2063 Mahaney Ave, Tahlequah, OK 74464-5731 | 2008-05-21 |
| 1255501144 | Callie Ann Hathcoat | Counselor | 720 College Ct, Tahlequah, OK 74464-4741 | 2008-03-06 |
| 1700076387 | Cora L. Eckenberger | Counselor | 1910 S Muskogee Ave, Tahlequah, OK 74464-5437 | 2007-07-30 |
| Find all providers in TAHLEQUAH | ||||
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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.