LAKISHA RENEE BEVERLY-REED (NPI# 1720221526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720221526 |
| Entity Type | Individual |
| Full Name | LAKISHA RENEE BEVERLY-REED |
| Credential | LADC |
| Practice Address |
2310 W Broadway St Muskogee OK 74401-2761 |
| Mailing Address |
Po Box 1267 Muskogee OK 74402-1267 |
| Practice Telephone | 9186827210 |
| Practice Fax Number | 9186820801 |
| Mailing Telephone | 9186827210 |
| Mailing Fax Number | 9186820801 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2016-04-25 |
| 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) |
1114 | OK | Behavioral Health & Social Service Providers |
| Street Address |
2310 W BROADWAY ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801014550 | Monarch, Inc | Substance Abuse Rehabilitation Facility | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2007-04-20 |
| 1396266185 | Reagan L Thompson | Counselor | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2017-06-30 |
| 1821456302 | Melissa Jane Patterson-bolles | Counselor | 2310 W Broadway St, Muskogee, OK 74401 | 2016-01-29 |
| 1255749917 | Monarch, Inc | Substance Abuse Rehabilitation Facility | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2014-07-25 |
| 1104163559 | Michelle Lynn Rogers | Counselor | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2013-01-04 |
| 1043526874 | Jamielle Lavon Reed | Counselor | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2010-08-31 |
| 1528385119 | Vera L Dowling | Counselor | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2010-04-22 |
| 1316262629 | Laura Vaezey Roets | Counselor | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2010-03-30 |
| 1760638928 | Monarch,inc | Substance Abuse Rehabilitation Facility | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2008-08-07 |
| 1326294554 | Monarch, Inc | Substance Abuse Rehabilitation Facility | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2008-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1720391923 | Billy Grimes Jr. | Counselor | 313 Gawf Ln, Muskogee, OK 74403-6109 | 2010-07-16 |
| 1598947046 | Renae Tracie | Counselor | 1309 S. 37th St., Muskogee, OK 74401-7908 | 2007-11-27 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1154513059 | Nancy Seabolt | Counselor | 2310 W. Broadway, Muskogee, OK 74401 | 2007-08-14 |
| 1497947303 | Ann Lewis | Counselor | 2310 W. Broadway St, Muskogee, OK 74401 | 2007-08-14 |
| 1871702167 | Kimberlee Janell Thomas | Counselor | 1162 Walnut St, Muskogee, OK 74403-2555 | 2007-05-22 |
| 1396960878 | Shelley A. Hoffman-green | Counselor | 2603 Rutherford St, Muskogee, OK 74403-7639 | 2007-04-17 |
| 1386774016 | Russell Wayne Bingham | Counselor | 4009 Eufala St, Muskogee, OK 74403 | 2007-03-06 |
| Find all providers in MUSKOGEE | ||||
Please comment or provide details below to improve the information on LAKISHA RENEE BEVERLY-REED.
| 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.