MS. SANDRA SUE DALE BOULWARE (NPI# 1235373465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235373465 |
| Entity Type | Individual |
| Full Name | MS. SANDRA SUE DALE BOULWARE |
| Credential | LPC, MAC |
| Practice Address |
1121 K St Nw Miami OK 74354-2915 |
| Practice Telephone | 9185425671 |
| Mailing Telephone | 9185425671 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 440 | OK | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
440 | OK | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
15991 | OK | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
109413 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1121 K ST NW |
| City | MIAMI |
| State | OK |
| Zip Code | 74354-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786603 | Coal Creek Counseling, LLC | Social Worker | 204 D St Ne, Miami, OK 74354 | 2017-05-10 |
| 1164958567 | Yco Tulsa, Inc | Counselor | 1458 E Steve Owens Blvd, Miami, OK 74354 | 2017-05-04 |
| 1982064226 | Yco Tulsa, Inc | Clinic/Center | 1519 E Steve Owens Blvd, Miami, OK 74354 | 2016-02-29 |
| 1548641285 | Courtney Marie Winfrey | Occupational Therapy Assistant | 310 2nd Ave Sw Fl 3, Miami, OK 74354 | 2015-06-17 |
| 1417338039 | Michelle Dawn Johnson | Case Manager/Care Coordinator | 1519 E. Steve Owens Blvd, Miami, OK 74354 | 2015-06-10 |
| 1790100337 | Jordan Taylor-threet | Speech-Language Pathologist | 2225 N. Main St., Miami, OK 74354 | 2014-02-19 |
| 1700137551 | Miami Healthcare, LLC | Skilled Nursing Facility | 2530 North Elm St., Miami, OK 74354 | 2012-09-19 |
| 1144507534 | Julia Brown | Pharmacist | 11 West Central, Miami, OK 74354 | 2011-11-14 |
| 1841504685 | Dodie A Giles Keith | Counselor | 33 C Street Northeast, Miami, OK 74354 | 2010-08-04 |
| 1013221571 | Katherine Renee Burke | Counselor | 111 S. Treaty Rd., Miami, OK 74354 | 2010-07-27 |
| Find all providers in zip 74354 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467942995 | James P. Jones | Counselor | 7410 Sunset Dr, Miami, FL 33143-4130 | 2018-05-10 |
| 1144734757 | Whitney Hawkins | Counselor | 150 Se 2nd Ave Ph 3, Miami, FL 33131-1516 | 2017-11-20 |
| 1164958567 | Yco Tulsa, Inc | Counselor | 1458 E Steve Owens Blvd, Miami, OK 74354 | 2017-05-04 |
| 1306294012 | Daniel Giladi | Counselor | 3660 Ne 199th St, Miami, FL 33180-3059 | 2016-06-03 |
| 1821493214 | Eduardo Alvarez | Counselor | 4310 Sw 164th Ct, Miami, FL 33185-5293 | 2014-10-28 |
| 1659798593 | Ida Sanfiel | Counselor | 4343 West Flagler St., Ste. 100, Dade Family Counseling, Miami, FL 33134 | 2014-03-27 |
| 1821414376 | Casey Machado | Counselor | 10690 S 587 Rd, Miami, OK 74354-5182 | 2014-03-07 |
| 1639506926 | Lourdes Hernandez Psyd Associates Pa | Counselor | 8360 W Flagler St Ste 202, Miami, FL 33144-2042 | 2013-10-01 |
| 1861730400 | John A Piedrahita | Counselor | 13200 Sw 70th Ave, Miami, FL 33156-6948 | 2013-01-16 |
| 1093034712 | Therapuetic Awakenings Inc. | Counselor | 3810 Sw 106th Ave, Miami, FL 33165-3631 | 2010-05-19 |
| Find all providers in MIAMI | ||||
Please comment or provide details below to improve the information on MS. SANDRA SUE DALE BOULWARE.
| 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.