SANDRA L BRISBY (NPI# 1841499068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841499068 |
| Entity Type | Individual |
| Full Name | SANDRA L BRISBY |
| Credential | BS |
| Practice Address |
1202 Sw A Ave Lawton OK 73501-3821 |
| Practice Telephone | 5803578166 |
| Practice Fax Number | 5803578166 |
| Mailing Telephone | 5803578166 |
| Mailing Fax Number | 5803578166 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |
| 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) |
Behavioral Health & Social Service Providers |
| Street Address |
1202 SW A AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467470310 | Roadback Incorporated | Substance Abuse Rehabilitation Facility | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2006-07-18 |
| 1366052532 | Avery Allen Beaty | Peer Specialist | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2020-08-03 |
| 1205446531 | Debra Young Dunham | Peer Specialist | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2020-08-02 |
| 1760832133 | Julie Connally | Peer Specialist | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2016-06-16 |
| 1669860763 | Bronwen Gutzwiller | Student in an Organized Health Care Education/Training Program | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2014-12-26 |
| 1639595473 | Coldelia White | Case Manager/Care Coordinator | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2014-03-17 |
| 1083044580 | Candace Jones | Case Manager/Care Coordinator | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2013-11-19 |
| 1942639901 | Heather Hennessey | Substance Abuse Rehabilitation Facility | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2013-11-09 |
| 1619215746 | Shannon Lynn Scholtz | Counselor | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2013-01-24 |
| 1538414065 | Michael W Rigsby | Case Manager/Care Coordinator | 1202 Sw A Ave, Lawton, OK 73501-3821 | 2012-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811557200 | Inertia Services LLC | Counselor | 1311 Sw Washington Ave, Lawton, OK 73501-7231 | 2019-06-18 |
| 1992179923 | Sonya Ann Smalley | Counselor | 214 Nw 44th St Apt 214f, Lawton, OK 73505-6047 | 2015-11-13 |
| 1598107179 | Cynthia Blackwell | Counselor | 702 Nw Homestead Dr, Lawton, OK 73505-5205 | 2013-07-23 |
| 1033456355 | Southern Oklahoma Treatment Services | Counselor | 1307 Sw Washington Ave, Lawton, OK 73501-7231 | 2013-01-07 |
| 1356619431 | Jaynee Marie Nelson | Counselor | 2305 Sw H Ave, 1, Lawton, OK 73505-8103 | 2011-12-05 |
| 1720307135 | Muhammad Ali | Counselor | 5326 Nw Elm Ave, Lawton, OK 73505-4622 | 2010-05-25 |
| 1063734952 | Marion Stelly | Counselor | 5 Nw 27th St, Lawton, OK 73505-6209 | 2010-02-19 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1184950693 | Krystal Meredith Lewis | Counselor | 605 W Gore Blvd Ste 1, Lawton, OK 73501-3732 | 2009-10-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 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.