MS. GISELLE GREENIDGE (NPI# 1750635751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750635751 |
| Entity Type | Individual |
| Full Name | MS. GISELLE GREENIDGE |
| Credential | M.S. |
| Practice Address |
602 Sw 38th Street Lawton OK 73505 |
| Practice Telephone | 5802485780 |
| Practice Fax Number | 5803573867 |
| Mailing Telephone | 5802485780 |
| Mailing Fax Number | 5803573867 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2013-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
OK | Behavioral Health & Social Service Providers |
| Street Address |
602 SW 38TH STREET |
| City | LAWTON |
| State | OK |
| Zip Code | 73505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481899 | State of Oklahoma | Psychiatric Hospital | 602 Sw 38th Street, Lawton, OK 73505-6912 | 2005-07-20 |
| 1316245954 | Kim Elise Bartlett | Specialist | 602 Sw 38th Street, Lawton, OK 73505-6912 | 2011-03-07 |
| 1619012515 | State of Oklahoma | Clinic/Center | 602 Sw 38th Street, Lawton, OK 73505-6912 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600048 | Taylor Dawn Prosser | Counselor | 1904 Nw Cache Rd, Lawton, OK 73507-4539 | 2019-07-13 |
| 1871057893 | Roxanne Elizabeth Wiseman | Counselor | 1604 Nw Lake Ave, Lawton, OK 73507-6451 | 2019-01-23 |
| 1225506264 | Itai Chinhamo-wilson | Counselor | 1802 Nw Ferris Ave, Lawton, OK 73507-5625 | 2018-11-07 |
| 1275032807 | Michigan Therapy Center | Counselor | 60565 Springhaven Ct, Lawton, MI 49065-7687 | 2018-02-09 |
| 1720516313 | Cequinse Scruggs | Counselor | 2704 Nw 52nd St Apt S5, Lawton, OK 73505-1459 | 2017-05-26 |
| 1235679671 | Angela L. Stanley, Lpc | Counselor | 1529 W Gore Blvd, C2, Lawton, OK 73501-3646 | 2017-03-05 |
| 1518343201 | Lasonia Rogers | Counselor | 2513 Nw 38th Pl, Lawton, OK 73505 | 2015-08-04 |
| 1245635382 | Kelly Mills | Counselor | 215 Se Warwick Way, Lawton, OK 73501-6368 | 2014-10-31 |
| 1114333150 | Mark Slater | Counselor | 401 Ne Angus St, Lawton, OK 73507-1408 | 2014-07-10 |
| 1639580848 | Andrea Loftis | Counselor | 1311 Sw E Ave, Lawton, OK 73501-4716 | 2014-05-12 |
| Find all providers in LAWTON | ||||
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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.