SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC. (NPI# 1790042117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790042117 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC. |
| Practice Address |
34 N Washington St Ardmore OK 73401-7013 |
| Mailing Address |
Po Box 1710 Kingston OK 73439-1710 |
| Practice Telephone | 5802265209 |
| Practice Fax Number | 5802265219 |
| Mailing Telephone | 5807459610 |
| Mailing Fax Number | 5807459650 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |
| Authorized Official Name | WHITNEY BUTLER (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Telephone | 5807459610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472137 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 701 C St, Elgin, OK 73538-9080 | 2018-10-02 |
| 1841618097 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 771 W 13th St, Atoka, OK 74525-3712 | 2014-04-04 |
| 1093131328 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 127 North 3rd Avenue, Durant, OK 74701-0000 | 2014-03-11 |
| 1710228853 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 605 1st Street, Madill, OK 73446 | 2013-03-14 |
| 1093072126 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 2600 W Broadway Ave Ste 2, Sulphur, OK 73086-6510 | 2012-04-13 |
| 1255648580 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 39 East Foley, Eufaula, OK 74432 | 2010-09-08 |
| 1750611885 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | Old Hwy 69 Texanna Road, Chectoah, OK 74426 | 2010-01-13 |
| 1447587787 | Southeastern Oklahoma Family Services, Inc. | Clinic/Center | 39 East Foley Ave, Eufuala, OK 74432-2805 | 2009-11-06 |
| 1346575883 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 115 W Broadway St Ste 401, Ardmore, OK 73401-6210 | 2009-10-15 |
| 1194104109 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 716 S 10th St, Duncan, OK 73533-5278 | 2015-05-22 |
| Street Address |
34 N WASHINGTON ST |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-7013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738535 | Kerrigan Mccoy | Behavior Technician | 34 N Washington St, Ardmore, OK 73401-7013 | 2020-10-19 |
| 1740897677 | Toni Deann Johnson | Behavior Technician | 34 N Washington St, Ardmore, OK 73401-7013 | 2020-09-24 |
| 1275142184 | Bethany Wilson | Behavior Technician | 34 N Washington St, Ardmore, OK 73401-7013 | 2020-07-27 |
| 1265041222 | Brittney Peters | Behavior Technician | 34 N Washington St, Ardmore, OK 73401-7013 | 2020-07-27 |
| 1457960379 | Hannah Marie Pyle | Behavior Technician | 34 N Washington St, Ardmore, OK 73401-7013 | 2020-07-27 |
| 1982221974 | Amanda Gail Thacker | Behavior Technician | 34 N Washington St, Ardmore, OK 73401-7013 | 2020-06-25 |
| 1992321145 | Lexx Miles | Behavior Technician | 34 N Washington St, Ardmore, OK 73401-7013 | 2020-06-23 |
| 1033735741 | Kaitlyn Stoops | Behavior Technician | 34 N Washington St, Ardmore, OK 73401-7013 | 2020-06-18 |
| 1306467188 | Ashley Slovak | Behavior Technician | 34 N Washington St, Ardmore, OK 73401-7013 | 2020-05-02 |
| 1083235048 | Tars'jah Cook | Behavior Technician | 34 N Washington St, Ardmore, OK 73401-7013 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356879928 | Melissa Hammel Consulting | Community/Behavioral Health | 30267 Highland Dr, Ardmore, TN 38449-3216 | 2017-05-26 |
| 1366832800 | Alicia Chastain | Community/Behavioral Health | 1301 7th Ave Nw, Ardmore, OK 73401-2469 | 2015-02-04 |
| 1346665288 | Johnny D Green Mshr, Lpc,pc | Community/Behavioral Health | 597 Colt Ln, Ardmore, OK 73401-9138 | 2014-03-01 |
| 1992141501 | Shawnda Shana Mawell | Community/Behavioral Health | 1215 11th Ave Ne, Ardmore, OK 73401-7019 | 2013-05-22 |
| 1225378623 | Lighthouse Behavioral Wellness Centers | Community/Behavioral Health | 1219 K St Nw, Ste. #2, Ardmore, OK 73401-1801 | 2013-02-21 |
| 1346575883 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 115 W Broadway St Ste 401, Ardmore, OK 73401-6210 | 2009-10-15 |
| 1831424787 | Kk Ounseling, Inc. | Community/Behavioral Health | 74 Overland Route St, Ardmore, OK 73401-2916 | 2009-10-10 |
| 1922266964 | Mental Health Services of Southern Oklahoma | Community/Behavioral Health | #2 Broadlawn, Ardmore, OK 73402-1722 | 2008-05-27 |
| 1508052713 | New Restoration Counseling Center | Community/Behavioral Health | 115 W Main St Ste 406, Ardmore, OK 73401-6413 | 2007-09-20 |
| 1841498078 | Family Shelter of Southern Oklahoma for Victims of Domestic Violence | Community/Behavioral Health | 116 C St Sw, Ardmore, OK 73401-6304 | 2007-07-10 |
| Find all providers in ARDMORE | ||||
Please comment or provide details below to improve the information on SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC..
| 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.