AMANDA PERCIVAL, PLLC (NPI# 1083154173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083154173 |
| Entity Type | Organization |
| Organization Name | AMANDA PERCIVAL, PLLC |
| Practice Address |
1420 W Owen K. Garriott Bldg 1 Enid OK 73703 |
| Mailing Address |
Po Box 146 Enid OK 73702-0146 |
| Practice Telephone | 4054267434 |
| Mailing Telephone | 4054267434 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | AMANDA PERCIVAL (OWNER) |
| Authorized Official Telephone | 4054267434 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6399 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1420 W OWEN K. GARRIOTT BLDG 1 |
| City | ENID |
| State | OK |
| Zip Code | 73703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902233 | Gena M Ford | Massage Therapist | 2117 W Owen K Garriot, Inside Beyond Beauty, Enid, OK 73703 | 2020-08-11 |
| 1396270351 | Zoom Diagnostic Imaging LLC | Clinic/Center | 1113 West Cherry Ave, Enid, OK 73703 | 2017-04-27 |
| 1972934297 | Ty Stroble | Behavioral Analyst | 408 N Oakwood, Apt.13d, Enid, OK 73703 | 2013-12-12 |
| 1801132204 | Ryan Patrick Williams | Dentist | 2510 W Chestnut Ave, Ste A, Enid, OK 73703 | 2012-12-13 |
| 1295094720 | Heather Jeanette Linder | Counselor | 2700 N. Vanburen, Trailer 240, Enid, OK 73703 | 2012-05-03 |
| 1366729477 | Karen Lynn Harris | Counselor | 1625 W. Garriot, Suite F, Enid, OK 73703 | 2011-11-03 |
| 1659666501 | Courtney Michelle Pike | Behavioral Analyst | 1625 West Owen K Garriott Road # F, Enid, OK 73703 | 2011-06-17 |
| 1194040089 | Erin K. Roberts, Dds, Plc | Dentist | 1402 N Van Buren, Enid, OK 73703 | 2010-04-02 |
| 1770812109 | Tabitha Janel Simon | Counselor | 529 North Grand, Enid, OK 73703 | 2009-12-14 |
| 1184809063 | Timothy David Ferguson | Social Worker | 3535 Willow Lake Lane, Enid, OK 73703 | 2008-01-09 |
| Find all providers in zip 73703 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811458037 | Collaborative Counseling of Enid | Counselor | 301 W. Maine, Suite 100, 301 W. Maine, Suite 100, Enid, OK 73701-5699 | 2019-03-29 |
| 1265821680 | Jessica Blanchard | Counselor | 1914 E Maple Ave, Enid, OK 73701-4505 | 2015-01-22 |
| 1396173654 | Sean Byrne | Counselor | 4014 Oakcrest Ave, Enid, OK 73703-3609 | 2013-10-24 |
| 1104104702 | Karla Kimberley Sullivan | Counselor | 222 N Taft St, Enid, OK 73703-4001 | 2011-07-30 |
| 1013222918 | Ramona Vernita Nazario | Counselor | 706 Bryan Dr, Enid, OK 73701-6912 | 2010-08-16 |
| 1235459611 | Jason Lee Frazier | Counselor | 821 S A St, Enid, OK 73703-6620 | 2010-06-08 |
| 1043441868 | Norma J Ferguson | Counselor | 3535 Willow Lake Ln, Enid, OK 73703-1416 | 2009-07-28 |
| 1841437555 | Tracy L. Brigham | Counselor | 1906 Pawhuska Ave, Enid, OK 73703-7649 | 2009-01-16 |
| 1619133790 | Jeanice L Polwort | Counselor | 2112 E Maple Ave, Enid, OK 73701-4612 | 2008-07-29 |
| 1013188358 | William Roger Meyer | Counselor | 3024 Bluebird Ln, Enid, OK 73703-1515 | 2008-03-14 |
| Find all providers in ENID | ||||
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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.