PORSCHA MILLENDER (NPI# 1962756759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962756759 |
| Entity Type | Individual |
| Full Name | PORSCHA MILLENDER |
| Practice Address |
605 W Gore Blvd Suite 5a Lawton OK 73501-3727 |
| Mailing Address |
2565 Se Trail Rd Lawton OK 73501-5260 |
| Practice Telephone | 5806479701 |
| Practice Fax Number | 5803516570 |
| Mailing Telephone | 5806479701 |
| Mailing Fax Number | 5803516570 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
605 W GORE BLVD SUITE 5A |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205941762 | Robert Miles Chisholm IIi | Medical Genetics, Ph.D. Medical Genetics | 605 W Gore Blvd, Suite 6, Lawton, OK 73501-3727 | 2006-08-21 |
| 1184082976 | Ithrive Counseling Services, LLC | Counselor | 605 W Gore Blvd, Suite 3, Lawton, OK 73501-3727 | 2016-02-08 |
| 1013265727 | Cynthia Marie Osuna | Counselor | 605 W Gore Blvd, Suite 3, Lawton, OK 73501-3727 | 2012-08-28 |
| 1427318203 | Deanice Shegog | Counselor | 605 W Gore Blvd, Suite 5a, Lawton, OK 73501-3727 | 2012-05-25 |
| 1427241728 | Robert Miles Chisholm IIi Md Pllc | Family Medicine | 605 W Gore Blvd, Suite 6, Lawton, OK 73501-3727 | 2007-08-21 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587946 | Chelsey S Kopaddy | Counselor | 1108 Nw Elm Ave, Lawton, OK 73507-4607 | 2020-08-02 |
| 1013445824 | Monica Brokaw | Counselor | 4213 Se Camden Way, Lawton, OK 73501-6538 | 2017-05-24 |
| 1184166415 | Kosheka Knight | Counselor | 713 Sw C Ave, Lawton, OK 73501-4311 | 2016-11-17 |
| 1154770261 | Tobi Duncan | Counselor | 2414 Nw Atlanta Ave, Lawton, OK 73505-3925 | 2016-06-09 |
| 1104291996 | Patricia Ann Hinckley | Counselor | 71125 26th St, Lawton, MI 49065-5608 | 2015-12-05 |
| 1649648056 | David Bollinger | Counselor | 1313 Nw Irwin Ave, Lawton, OK 73507-3546 | 2015-09-02 |
| 1326422825 | Jamari King | Counselor | 1302 Sw Texas Ave, Lawton, OK 73501-8040 | 2015-07-14 |
| 1477934370 | Melvin Carr Jr. | Counselor | 5727 Nw Ash Ave, Lawton, OK 73505-4641 | 2015-06-16 |
| 1053791178 | Christina Caddy | Counselor | 20 Nw Mission Blvd, L12, Lawton, OK 73507-2226 | 2015-06-03 |
| 1992184410 | Gradie Green | Counselor | 6701 Sw Baywood Dr, Lawton, OK 73505-9026 | 2015-05-29 |
| 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.