MRS. PATRICIA IRENE WALLACE (NPI# 1043336704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043336704 |
Entity Type | Individual |
Full Name | MRS. PATRICIA IRENE WALLACE |
Other Name | MS. PATRICIA IRENE RUDROW |
Credential | LPC,LADC |
Practice Address |
104 N 4th St Hugo OK 74743-4003 |
Practice Telephone | 5803267531 |
Practice Fax Number | 5803262377 |
Mailing Telephone | 5803267531 |
Mailing Fax Number | 5803262377 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
3190 | OK | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922434091 | Patricia J Wallace | Hearing Instrument Specialist | 1 Chesterfield Mall, Chesterfield, MO 63017-4807 | 2013-09-20 |
1730683301 | Patricia Sue Wallace | Nurse Practitioner | 106 Market Place Cir, Georgetown, KY 40324-7400 | 2018-03-20 |
1548762958 | Patricia E. Wallace | Counselor | 3365 W Craig Rd Ste 25, North Las Vegas, NV 89032-5127 | 2018-03-01 |
1538606744 | Patricia Wallace | Occupational Therapist | 1755 Wittington Pl Ste 175, Dallas, TX 75234-1905 | 2017-01-25 |
1215398722 | Patricia Wallace | Marriage & Family Therapist | 901 N Pacific Coast Hwy, Suite 200a, Redondo Beach, CA 90277-2162 | 2016-03-10 |
1447553300 | Patricia A Wallace | Counselor | 450 Rosewood Ave, Suite215, Camarillo, CA 93010-5914 | 2010-12-15 |
1164750741 | Patricia Wallace | Occupational Therapist | 1818 W Worley St, Columbia, MO 65203-1038 | 2009-11-19 |
1174771281 | Patricia M Wallace | Acupuncturist | 217 1st St, Neptune Beach, FL 32266-6145 | 2008-09-03 |
1033393780 | Patricia Bonner Wallace | Counselor | 823 Evans St, Greenville, NC 27834-3267 | 2007-12-18 |
1861605719 | Patricia Wallace | Psychologist | 16000 W 9 Mile Rd, Suite 615, Southfield, MI 48075-4808 | 2007-05-08 |
Street Address |
104 N 4TH ST |
City | HUGO |
State | OK |
Zip Code | 74743-4003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245433895 | Marie Lindsay Pardue | Registered Nurse | 104 N 4th St, Hugo, OK 74743-4003 | 2007-06-08 |
1942429493 | Mary Jane Noland | Counselor | 104 N 4th St, Hugo, OK 74743-4003 | 2007-04-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053817775 | Emilia Sue Lopez | Registered Nurse | 2008 East 2110 Road, Hugo, OK 74743 | 2018-04-02 |
1144739657 | Healing Hearts Counseling & Consulting, L.L.C. | Clinic/Center | 1212 East Kirk, Hugo, OK 74743 | 2017-09-27 |
1457801177 | Kelli Lemke | Nurse Practitioner | 204 E. Jackson St., Hugo, OK 74743 | 2016-10-05 |
1780040147 | Shabreka Dorshell Coleman | Student in an Organized Health Care Education/Training Program | 1475 North 4220 Road, Grant, OK 74743 | 2016-01-14 |
1063898161 | Jaclyn Deann Rouse | Optometrist | 410 North M Street, Hugo, OK 74743 | 2015-07-31 |
1548519648 | Tori L Fowler | Counselor | 112 W. Jackson, Hugo, OK 74743 | 2012-09-05 |
1174802219 | Malinda Burnett | Counselor | 1100 David Roebuck Lane, Hugo, OK 74743 | 2011-08-08 |
1942591490 | Joshua Asher Tims | Clinic/Center | 1213 E. Jackson St, Hugo, OK 74743 | 2011-05-02 |
1598998320 | Kimberly Dawn Jones | Social Worker | 1717 1/2 West Jackson, Hugo, OK 74743 | 2009-08-27 |
1689812547 | Adeline Youngblood | Counselor | 612 E Jackson, Hugo, OK 74743 | 2009-01-30 |
Find all providers in zip 74743 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790148997 | The Therapy Tree | Counselor | 3519 E Jackson St, Hugo, OK 74743-4042 | 2016-04-04 |
1144643768 | Bonnie Sims | Counselor | 1108 S 3rd St, Hugo, OK 74743-8008 | 2014-02-03 |
1245651538 | Elizabeth Wulf | Counselor | 612 E. Jackson, Hugo, OK 74743-0000 | 2014-01-03 |
1124459359 | Rachel Elizabeth Stringfellow | Counselor | 612 East Jackson, Hugo, OK 74743-0000 | 2013-12-13 |
1548519648 | Tori L Fowler | Counselor | 112 W. Jackson, Hugo, OK 74743 | 2012-09-05 |
1730437310 | Priscillla Gooch | Counselor | 705 West 13th Street, Hugo, OK 74525 | 2012-08-29 |
1891060091 | Courtney Latimore | Counselor | 613 S 10th St, Hugo, OK 74743-4822 | 2012-03-20 |
1720368574 | Jacqueline Kit Pipkin | Counselor | 305 Dorthy Orton Dr, Hugo, OK 74743-1067 | 2011-08-25 |
1497034359 | Jane L Schreurs | Counselor | 1210 E Duke St, Hugo, OK 74743-4216 | 2011-08-10 |
1750660932 | Patricia Ann Richard | Counselor | 300 N E St, Hugo, OK 74743-3208 | 2011-08-05 |
Find all providers in HUGO |
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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.