ANDRE DAUGHTY (NPI# 1639413156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100708380 | 05 | |
| OK | 200049040 | 05 |
| Street Address |
4149 HIGHLINE BLVD SUITE 390,400 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73108-2103 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 73108 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| 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 | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73108 |
Please comment or provide details below to improve the information on ANDRE DAUGHTY.
| 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.