MICHAEL LEE SOURIE (NPI# 1346520871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346520871 |
Entity Type | Individual |
Full Name | MICHAEL LEE SOURIE |
Practice Address |
712 Nw 193rd St Edmond OK 73012-3418 |
Practice Telephone | 4053404257 |
Practice Fax Number | 4053404257 |
Mailing Telephone | 4053404257 |
Mailing Fax Number | 4053404257 |
Enumeration Date | 2011-08-29 |
Last Update Date | 2011-08-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
712 NW 193RD ST |
City | EDMOND |
State | OK |
Zip Code | 73012-3418 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407293673 | Veronica Q Banks | Social Worker | 712 Nw 193rd St, Edmond, OK 73012-3418 | 2013-05-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
1699316083 | First Rate Eye Care Pllc | Optometrist | 1140 Nw 192nd St., Suite A, Edmond, OK 73012 | 2019-10-07 |
1659869881 | Brent Byers | Registered Nurse | 3040 Nw 179th Ct, Edmond, OK 73012 | 2018-04-24 |
1386173672 | John A Hale | Respiratory Therapist, Certified | 19100 Meadows Crossing Drive, Edmond, OK 73012 | 2017-06-08 |
1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
1538545801 | Cynthia Ann Thompson | Case Manager/Care Coordinator | 1732 Kelly, Edmond, OK 73012 | 2015-08-10 |
1538564224 | Function Physical Therapy, LLC | Physical Therapist | 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 | 2014-10-24 |
1003227414 | Deer Creek Family Healthcare and Wellness Clinic LLC | Clinic/Center | 19401 N. Portland, Edmond, OK 73012 | 2014-05-20 |
1316383649 | Ralphs Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Nw178th Street, Suite A, Edmond, OK 73012 | 2013-05-14 |
Find all providers in zip 73012 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437666260 | Louis Alexander Marull | Counselor | 15704 Traditions Dr, Edmond, OK 73013-1149 | 2018-01-02 |
1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
1922547348 | Madison Blair Hinson | Counselor | 213 Elwood Dr, Edmond, OK 73013-5212 | 2017-02-17 |
1891247102 | Tia Goosby | Counselor | 15901 Vintage Dr, Edmond, OK 73013-1417 | 2016-11-03 |
1265988463 | Desmond Nkefua | Counselor | 920 South Boulevard Suit 103, Edmond, OK 73034 | 2016-08-28 |
1598123374 | Ohnre Whaley | Counselor | 15209 Himalaya Rdg, Edmond, OK 73013-9208 | 2016-02-08 |
1033580055 | Monica Brown | Counselor | 809 Nw 142nd St, Edmond, OK 73013-1962 | 2015-10-16 |
1336536051 | Rotasha Lewis | Counselor | 1919 E Second St, Edmond, OK 73034 | 2015-04-21 |
1720477565 | Kimberly Magee | Counselor | 16008 Evan Shaw Ct, Edmond, OK 73013-7519 | 2015-01-16 |
1104229566 | Amir Salami I | Counselor | 2001 Shamrock Dr, Edmond, OK 73003-4707 | 2014-09-30 |
Find all providers in EDMOND |
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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.