ANDRE DAUGHTY


Address: 4149 Highline Blvd, Suite 390,400, Oklahoma City, OK 73108-2103
Phone: 4059491000

ANDRE DAUGHTY (NPI# 1639413156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639413156
Entity Type Individual
Full Name ANDRE DAUGHTY
Practice Address 4149 Highline Blvd
Suite 390,400
Oklahoma City
OK 73108-2103
Mailing Address Po Box 48
Mead
OK 73449-0048
Practice Telephone 4059491000
Practice Fax Number 4059491063
Mailing Telephone 5807459610
Mailing Fax Number 5807459650
Enumeration Date 2012-11-21
Last Update Date 2012-11-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 100708380 05
OK 200049040 05

Office Location

Street Address 4149 HIGHLINE BLVD
SUITE 390,400
City OKLAHOMA CITY
State OK
Zip Code 73108-2103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760503361 Cherie Denise Box Counselor 4149 Highline Blvd, Oklahoma City, OK 73108-2103 2007-04-02
1962980615 Danielle Hayes Reseck Student in an Organized Health Care Education/Training Program 4149 Highline Blvd, Oklahoma City, OK 73108-2103 2018-08-04
1467960229 Jacquira Dillard Peer Specialist 4149 Highline Blvd, Oklahoma City, OK 73108-2103 2018-01-16
1295185205 Donya Cuff Pharmacy Technician 4149 Highline Blvd, Suite 300, Oklahoma City, OK 73108-2103 2016-06-21
1053761056 Wendell Fuller Pharmacist 4149 Highline Blvd, Suite 300, Oklahoma City, OK 73108-2103 2016-06-21
1619313954 Southern Oklahoma Treatment Services, Inc Community/Behavioral Health 4149 Highline Blvd, Suite 400, Oklahoma City, OK 73108-2103 2013-05-14
1700221843 Southeastern Oklahoma Family Services, Inc Community/Behavioral Health 4149 Highline Blvd, Suite 390,400, Oklahoma City, OK 73108-2103 2013-05-02
1962846733 Terrance Mitchell Counselor 4149 Highline Blvd, Suite 390, Oklahoma City, OK 73108-2103 2013-04-24
1114266442 Melanie A Morriss Counselor 4149 Highline Blvd, Suite 390, Oklahoma City, OK 73108-2103 2013-02-06
1033462205 Dominic Carter Counselor 4149 Highline Blvd, Oklahoma City, OK 73108-2103 2012-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316477714 Dionna Danielle Weixel Counselor 4341 Will Rogers Parkway, Oklahoma City, OK 73108 2017-06-18
1497205389 Amber Croom Case Manager/Care Coordinator 909 S Meridian Ave Ste 525, Oklahoma City, OK 73108 2016-10-04
1063837524 Bobby King Counselor 401 46th St., Oklahoma City, OK 73108 2014-02-20
1104167816 Chad Jeffrey Perry Physical Therapy Assistant 238 Quadrum Drive, Oklahoma City, OK 73108 2013-03-05
1295071918 Avalon Corrections Case Management 400 S. May, Oklahoma City, OK 73108 2012-12-28
1164608790 American Current Care P.a. Clinic/Center 200 Quadrum Drive, Oklahoma City, OK 73108 2008-01-14
1790960672 Fresh Start Counseling Services Inc Community/Behavioral Health 4801 Classen Boulevard, Suite 159, Oklahoma City, OK 73108 2008-01-09
1366644577 Saints Medical Group, LLC Physician Assistant 2401 Sw 23rd St, Suite 101, Oklahoma City, OK 73108 2007-06-01
1902027287 Joel William Corn Family Medicine 1506 S Agnew, Okha City, OK 73108 2007-05-02
1851493944 Good Shepherd Hospice Inc Hospice Care, Community Based 4350 Will Rogers Parkway, Suite 400, Oklahoma City, OK 73108 2006-09-01
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639777410 Larissa Wilson Counselor 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 2020-10-13
1497368179 The Possibilities Place LLC Counselor 6900 Basswood Canyon Rd, Oklahoma City, OK 73162-7207 2020-08-24
1306457569 Compassionate Hand Counseling Services Inc Counselor 1414 Sw 89th St Ste B, Oklahoma City, OK 73159-6312 2020-08-12
1942819081 Michael Sylvester Radonski Counselor 14700 Rambling Creek Cir, Oklahoma City, OK 73142-9719 2020-07-24
1548895931 Court Assistance Programs Inc. Counselor 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 2020-03-06
1730713884 Hanna Pauline Nassar Counselor 405 Nw 33rd St, Oklahoma City, OK 73118-8644 2020-02-27
1699319475 Stephanie Gaynell Potts Counselor 1724 Ne 54th St, Oklahoma City, OK 73111-6832 2019-11-04
1962062471 Babatunde Olumuyiwa Sosanya Counselor 1900 N Macarthur Blvd Ste 125, Oklahoma City, OK 73127-2650 2019-06-17
1598321440 Tiba Counseling Center, Inc. Counselor 4301 Nw 63rd St Ste 305, Oklahoma City, OK 73116-1504 2019-05-16
1588132542 Allison Martha Gibson Counselor 2525 Nw Expressway Ste 220, Oklahoma City, OK 73112-7227 2018-11-08
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73108

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Dataset Information

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.

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