IRVIN DWAYNE PROFIT (NPI# 1699974584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699974584 |
| Entity Type | Individual |
| Full Name | IRVIN DWAYNE PROFIT |
| Credential | LADC U/S |
| Practice Address |
5319 S. Lewis, Ste 219 Tulsa OK 74105 |
| Practice Telephone | 9188327763 |
| Practice Fax Number | 9182928250 |
| Mailing Telephone | 9188327763 |
| Mailing Fax Number | 9182928250 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2013-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| 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 |
5319 S. LEWIS, STE 219 |
| City | TULSA |
| State | OK |
| Zip Code | 74105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417070954 | Sara Cora Hardy | Counselor | 5319 S. Lewis, Ste 219, Tulsa, OK 74105 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1629547286 | Kealey Jordan Oliver | Occupational Therapist | 3223 E. 31st Steet, Tulsa, OK 74105 | 2018-11-13 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1235635277 | Brenda Kay Sanders | Speech-Language Pathologist | 4911 S Detroit Ave, Tulsa, OK 74105 | 2018-03-30 |
| 1417400771 | Caroline Hunter Heineck | Speech-Language Pathologist | 3223 E. 31st St., Tulsa, OK 74105 | 2016-08-03 |
| 1437509544 | Reliance Care Health Services LLP | Home Health | 5810 S. Peoria Avenue, Tulsa, OK 74105 | 2016-06-20 |
| 1578921748 | Latisha Henderson | Case Manager/Care Coordinator | 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 | 2016-02-03 |
| 1326424573 | Evelyn J Fennell | Nurse's Aide | 1143 E 57th Place, Tulsa, OK 74105 | 2015-08-10 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| Find all providers in zip 74105 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060444 | John Christopher Lewis | Counselor | 6302 N Garrison Ave, Tulsa, OK 74126-1512 | 2020-07-06 |
| 1487273223 | Maxwell Brown Enterprise, LLC | Counselor | 250 E Apache St, Tulsa, OK 74106-3702 | 2020-04-12 |
| 1023652385 | Kristin Alaine Mackey | Counselor | 4815 S Sheridan Rd Ste 106, Tulsa, OK 74145-5715 | 2019-10-30 |
| 1780236885 | Weather Haag | Counselor | 808 N Maplewood Ave, Tulsa, OK 74115-6710 | 2019-07-10 |
| 1811549025 | Rianna Rizzo | Counselor | 1619 E 66th St, Tulsa, OK 74136-0726 | 2019-07-09 |
| 1285198515 | Elizabeth Ann Hebert | Counselor | 6016 S 66th East Ave, Tulsa, OK 74145-9210 | 2019-01-31 |
| 1700352473 | Kimberley Dawn Harmon | Counselor | 3239 S 140th East Ave, Tulsa, OK 74134-4269 | 2018-10-19 |
| 1215410840 | De Nesha Do'nai Bell | Counselor | 3916 E 31st St, Tulsa, OK 74135-1509 | 2018-09-10 |
| 1114405594 | Go2therapy LLC | Counselor | 6931 E 31st Street, Unit 31, Tulsa, OK 74129 | 2018-07-30 |
| 1659807188 | Lauren Amanda Hall | Counselor | 5001 S 28th West Ave, Tulsa, OK 74107-7637 | 2017-05-03 |
| Find all providers in TULSA | ||||
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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.