DYLAN VICTOR LESLIE


Address: 69 Arrowhead Loop, Canadian, OK 74425-5012
Phone: 9183395800

DYLAN VICTOR LESLIE (NPI# 1962811802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962811802
Entity Type Individual
Full Name DYLAN VICTOR LESLIE
Practice Address 69 Arrowhead Loop
Canadian
OK 74425-5012
Practice Telephone 9183395800
Practice Fax Number 9183395801
Mailing Telephone 9183395800
Mailing Fax Number 9183395801
Enumeration Date 2014-08-05
Last Update Date 2014-08-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Office Location

Street Address 69 ARROWHEAD LOOP
City CANADIAN
State OK
Zip Code 74425-5012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366724924 Lee Rain Wallin Community Health Worker 69 Arrowhead Loop, Canadian, OK 74425-5012 2011-09-09
1205317278 Jennifer Ruth Howell Case Manager/Care Coordinator 69 Arrowhead Loop, Canadian, OK 74425-5012 2018-08-27
1821524109 Mandy Jerome Counselor 69 Arrowhead Loop, Canadian, OK 74425-5012 2017-05-05
1457887739 Crystal Lamb Counselor 69 Arrowhead Loop, Canadian, OK 74425-5012 2017-05-05
1992163547 Michael Edward Shuman Sr. Community Health Worker 69 Arrowhead Loop, Canadian, OK 74425 2016-02-10
1518324250 Charles Alan Flucard Community Health Worker 69 Arrowhead Loop, Canadian, OK 74425-5012 2016-01-26
1417356015 Heather Miller Substance Abuse Rehabilitation Facility 69 Arrowhead Loop, Canadian, OK 74425-5012 2014-08-19
1699174284 Derry Hallmark Substance Abuse Rehabilitation Facility 69 Arrowhead Loop, Canadian, OK 74425-5012 2014-08-19
1790199263 Ryan Donald Pointek Substance Abuse Rehabilitation Facility 69 Arrowhead Loop, Canadian, OK 74425-5012 2014-06-12
1386056109 Nellabeth Alexander-richmond Substance Abuse Rehabilitation Facility 69 Arrowhead Loop, Canadian, OK 74425-5012 2014-05-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710015904 Canadian Public School Public Health or Welfare 1 Belt Ave, Canadian, OK 74425 2007-03-01
1306262159 Morgan Pinson Counselor 51 Gaines Creek Rd, Canadian, OK 74425-5176 2014-03-17
1730339771 Narconon of Oklahoma, Inc Substance Abuse Rehabilitation Facility Hc 67 Box 5, Canadian, OK 74425-9700 2008-09-26
1508154618 Karen Shuman Case Manager/Care Coordinator Hc 67 Box 5, Canadian, OK 74425-9700 2011-07-11
1467759134 Anthony Lee Landers Community Health Worker Hc 67 Box 5, Canadian, OK 74425-9700 2011-02-16
1326343260 Rebecca Fontenot Community Health Worker Hc 67 Box 5, Canadian, OK 74425-9700 2011-01-25
1912202870 Alex Prince Community Health Worker Hc 67 Box 5, Canadian, OK 74425-9700 2011-01-24
1114222015 Marcus Fontenot Community Health Worker Hc 67 Box 5, Canadian, OK 74425-9700 2011-01-24
1285939298 Michael Magee Community Health Worker Hc 67 Box 5, Canadian, OK 74425-9700 2011-01-22
1336444306 Ronald Patenaude Community Health Worker Hc 67 Box 5, Canadian, OK 74425-9700 2011-01-21
Find all providers in zip 74425

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093127979 Kimberly Ann Kelly-lorenz Substance Abuse Rehabilitation Facility 163 Mohawk Dr, Canadian, OK 74425-9747 2014-05-27
1730339771 Narconon of Oklahoma, Inc Substance Abuse Rehabilitation Facility Hc 67 Box 5, Canadian, OK 74425-9700 2008-09-26
1417356015 Heather Miller Substance Abuse Rehabilitation Facility 69 Arrowhead Loop, Canadian, OK 74425-5012 2014-08-19
1699174284 Derry Hallmark Substance Abuse Rehabilitation Facility 69 Arrowhead Loop, Canadian, OK 74425-5012 2014-08-19
1790199263 Ryan Donald Pointek Substance Abuse Rehabilitation Facility 69 Arrowhead Loop, Canadian, OK 74425-5012 2014-06-12
1386056109 Nellabeth Alexander-richmond Substance Abuse Rehabilitation Facility 69 Arrowhead Loop, Canadian, OK 74425-5012 2014-05-28
1932511789 William Patrick Lott Substance Abuse Rehabilitation Facility 69 Arrowhead Loop, Canadian, OK 74425-5012 2014-05-28
1770995516 Liberty Maria Burkhart Substance Abuse Rehabilitation Facility 69 Arrowhead Loop, Canadian, OK 74425-5012 2014-05-28
1023420098 Justin Dwayne Ross Substance Abuse Rehabilitation Facility 69 Arrowhead Loop, Canadian, OK 74425-5012 2014-05-27
1194137463 Kimberly Irene Cooper Substance Abuse Rehabilitation Facility 69 Arrowhead Loop, Canadian, OK 74425-5012 2014-05-21
Find all providers in CANADIAN

Competitor

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City CANADIAN
Zip Code 74425

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Dataset Information

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.

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