PORT LAWRENCE BEHAVIORAL HEALTH SERVICES LLC (NPI# 1891293759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891293759 |
| Entity Type | Organization |
| Organization Name | PORT LAWRENCE BEHAVIORAL HEALTH SERVICES LLC |
| Practice Address |
7901 Ne 10th St Midwest City OK 73110-3600 |
| Mailing Address |
8617 Honey Locust Dr Spencer OK 73084-2115 |
| Practice Telephone | 4053267721 |
| Mailing Telephone | 4053267721 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |
| Authorized Official Name | MR. FRANK C. CALVIN (PRESIDENT) |
| Authorized Official Telephone | 4053267721 |
| Authorized Official Credential | LADC/MH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | OK | Agencies |
| Street Address |
7901 NE 10TH ST |
| City | MIDWEST CITY |
| State | OK |
| Zip Code | 73110-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124850 | C. Brant Worthington | Dentist | 7901 Ne 10th St, Suite 103, Midwest City, OK 73110-3600 | 2005-09-20 |
| 1043858491 | Tawana Glenice Middleton-trimm | Case Manager/Care Coordinator | 7901 Ne 10th St, Midwest City, OK 73110-3600 | 2019-12-17 |
| 1477099224 | Brandy Christina Dismuke | Case Manager/Care Coordinator | 7901 Ne 10th St, Ste B106, Midwest City, OK 73110-3600 | 2017-01-17 |
| 1538566369 | Donald Richardson | Case Management | 7901 Ne 10th St, Midwest City, OK 73110-3600 | 2014-11-21 |
| 1265851315 | Portia Finley | Counselor | 7901 Ne 10th St, Midwest City, OK 73110-3600 | 2014-04-15 |
| 1346668431 | Evans Brown Jr. | Counselor | 7901 Ne 10th St, Midwest City, OK 73110-3600 | 2014-04-04 |
| 1134546682 | Guiding Right LLC | Public Health or Welfare | 7901 Ne 10th St, Suite A-111, Midwest City, OK 73110-3600 | 2014-03-22 |
| 1972924512 | Melvin Gaines | Behavioral Analyst | 7901 Ne 10th St, Midwest City, OK 73110-3600 | 2013-12-28 |
| 1518394238 | Torayia Clark | Counselor | 7901 Ne 10th St, Suite 8209, Midwest City, OK 73110-3600 | 2013-09-27 |
| 1992130462 | Marcus Nealy | Counselor | 7901 Ne 10th St, A209, Midwest City, OK 73110-3600 | 2013-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
| 1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
| 1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
| 1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
| 1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
| 1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
| 1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
| 1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
| 1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
| 1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
| Find all providers in zip 73110 | ||||
| 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 |
|---|---|---|---|---|
| 1184191926 | Bobbie Jean Taylor | Community/Behavioral Health | 2044 Westbury Dr, Midwest City, OK 73130-8209 | 2018-10-30 |
| 1649706672 | Desire 2 Be You Counseling Services, LLC | Community/Behavioral Health | 9075 Harmony Dr, Midwest City, OK 73130-6217 | 2017-05-11 |
| 1962958900 | Addiction & Behavioral Health Specialist Incorporated | Community/Behavioral Health | 2905 S Harr Dr Ste 103, Midwest City, OK 73110-3049 | 2016-08-30 |
| 1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
| 1467799783 | Opal Harris | Community/Behavioral Health | 7869 Ne 10th St Apt 195, Midwest City, OK 73110-3674 | 2013-01-07 |
| 1386910883 | To Inspire Youth and Family Counseling | Community/Behavioral Health | 7901 Ne 10th St Ste C111, Midwest City, OK 73110-3653 | 2012-03-29 |
| 1700152402 | Day By Day Counseling Services LLC | Community/Behavioral Health | 1205 S Air Depot Blvd # 122, Midwest City, OK 73110-4807 | 2012-03-27 |
| 1497026173 | Deberry Interprise | Community/Behavioral Health | 9233 North East10th Street, Midwest City, OK 73130 | 2012-01-26 |
| 1821377326 | Tashika Brooks | Community/Behavioral Health | 211 Kendra Dr, Midwest City, OK 73110-7750 | 2011-08-15 |
| 1225316003 | Another Chance Counseling Agency, Inc | Community/Behavioral Health | 8306 Ne 10th St, Midwest City, OK 73110-7155 | 2011-07-28 |
| Find all providers in MIDWEST CITY | ||||
| City | MIDWEST CITY |
| Zip Code | 73110 |
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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.