AVENUES RECOVERY CENTER OF OKLAHOMA (NPI# 1134689953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134689953 |
| Entity Type | Organization |
| Organization Name | AVENUES RECOVERY CENTER OF OKLAHOMA |
| Practice Address |
24962 Okay Rd Tecumseh OK 74873-6504 |
| Mailing Address |
211 Boulevard of The Americas Suite 503 Lakewood NJ 08701-6924 |
| Practice Telephone | 4058353030 |
| Mailing Telephone | 7323058002 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | HUDI ALTER (OWNER/CEO) |
| Authorized Official Telephone | 4058353030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457842783 | Avenues Recovery Center of Oklahoma | Substance Abuse Rehabilitation Facility | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2018-05-22 |
| Street Address |
24962 OKAY RD |
| City | TECUMSEH |
| State | OK |
| Zip Code | 74873-6504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558783589 | Vizown LLC | Substance Abuse Rehabilitation Facility | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2014-01-10 |
| 1467913921 | Emake M Fisher | Peer Specialist | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2019-03-27 |
| 1255891693 | Chelsea Campbell | Case Manager/Care Coordinator | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2019-03-21 |
| 1568940815 | Lucas Shoemaker | Peer Specialist | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2018-07-30 |
| 1477031722 | Brett A Payne | Peer Specialist | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2018-07-30 |
| 1457842783 | Avenues Recovery Center of Oklahoma | Substance Abuse Rehabilitation Facility | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2018-05-22 |
| 1649715608 | Vizown, LLC | Family Medicine | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2016-12-30 |
| 1780058560 | Athena Rehbilitation Services, LLC | Substance Abuse Rehabilitation Facility | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2015-11-17 |
| 1447628839 | Laurie Ann Mallinson | Substance Abuse Rehabilitation Facility | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2015-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309934 | Roger Blaine Morris | Counselor | 602 N. Harrison, Tecumseh, OK 74873 | 2019-08-01 |
| 1437495025 | Sherri Lynn Mccutcheon | Social Worker | 1300 S. 13th Street, Tecumseh, OK 74873 | 2012-12-31 |
| 1114166485 | Ed Wingfield | Dentist | 700 S. 9th, Tecumseh, OK 74873 | 2009-02-11 |
| 1588748172 | Charles Allen Sims Jr. | Dentist | 115 West Walnut St, Tecumseh, OK 74873 | 2006-10-24 |
| 1295821874 | Justin Ray Phillips | Chiropractor | 602 N. Broadway, Teucumseh, OK 74873 | 2006-10-04 |
| 1982878724 | Gage Lucky 13 LLC | Durable Medical Equipment & Medical Supplies | 503 N Broadway St, Tecumseh, OK 74873 | 2008-04-14 |
| 1427140086 | Tecumseh Medical Clinic PC | Family Medicine | 418 E Walnut St, Tecumseh, OK 74873 | 2006-09-29 |
| 1750853677 | Melissa Capps | Behavior Technician | 21668 Lilly Dr, Tecumseh, OK 74873-0016 | 2018-12-18 |
| 1972962876 | Christine Loeffler | Radiology | 44493 State Highway 9, Tecumseh, OK 74873-0113 | 2016-02-19 |
| 1700813144 | Ronald M Wayt Dds Inc | Dentist | 1011 N Broadway, Suite 7, Tecumseh, OK 74873-0219 | 2006-06-28 |
| Find all providers in zip 74873 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558783589 | Vizown LLC | Substance Abuse Rehabilitation Facility | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2014-01-10 |
| 1457842783 | Avenues Recovery Center of Oklahoma | Substance Abuse Rehabilitation Facility | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2018-05-22 |
| 1780058560 | Athena Rehbilitation Services, LLC | Substance Abuse Rehabilitation Facility | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2015-11-17 |
| 1447628839 | Laurie Ann Mallinson | Substance Abuse Rehabilitation Facility | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2015-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301893 | Second Chance Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 4238 Ne 1st St, Pryor, OK 74361-9614 | 2020-06-24 |
| 1912551805 | Estelle Hawkins | Substance Abuse Rehabilitation Facility | 21227 N County Road 3350, Wynnewood, OK 73098-9356 | 2019-07-29 |
| 1902359391 | Ryan Fitzpatrick | Substance Abuse Rehabilitation Facility | 7138 S Canton Ave, Tulsa, OK 74136-6303 | 2016-08-02 |
| 1609223866 | Seven Ponds Energy LLC Dba Seven Ponds Residential Treatment | Substance Abuse Rehabilitation Facility | 1760 Blevins Rd., Bennington, OK 74723 | 2016-05-18 |
| 1679938534 | Claudia Antoinette Parker | Substance Abuse Rehabilitation Facility | 301 Pointe Parkway Blvd Apt 706, Yukon, OK 73099-0641 | 2015-12-20 |
| 1184089328 | Door 2 Ur Future | Substance Abuse Rehabilitation Facility | 1050 E 61st St Apt 89, Tulsa, OK 74136-1397 | 2015-12-15 |
| 1144627233 | Denise Evyonne Engram | Substance Abuse Rehabilitation Facility | 4723 S Ash Dr, Broken Arrow, OK 74011-3464 | 2014-12-04 |
| 1093127979 | Kimberly Ann Kelly-lorenz | Substance Abuse Rehabilitation Facility | 163 Mohawk Dr, Canadian, OK 74425-9747 | 2014-05-27 |
| 1104256684 | Robert Watson | Substance Abuse Rehabilitation Facility | 111 W 5th St Ste 600, Tulsa, OK 74103-4260 | 2013-11-19 |
| 1417297680 | Lavina Kay Clark | Substance Abuse Rehabilitation Facility | 126 E 6th St, Pawhuska, OK 74056-4204 | 2013-02-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AVENUES RECOVERY CENTER OF OKLAHOMA.
| 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.