ARBUCKLE LIFE SOLUTIONS, INC. (NPI# 1528122355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528122355 |
| Entity Type | Organization |
| Organization Name | ARBUCKLE LIFE SOLUTIONS, INC. |
| Practice Address |
9 10th Ave Nw Ardmore OK 73401-5929 |
| Practice Telephone | 5802261656 |
| Practice Fax Number | 8442707511 |
| Mailing Telephone | 5802261656 |
| Mailing Fax Number | 8442707511 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | MR. KEVIN ANTHONY BONE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5802261656 |
| Authorized Official Credential | MS, LPC, LADC/MH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
OK | Ambulatory Health Care Facilities |
| Street Address |
9 10TH AVE NW |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-5929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720431232 | Rebecca Ann Jones | Counselor | 9 10th Ave Nw, Ardmore, OK 73401-5929 | 2016-07-20 |
| 1083923213 | Martin Maytubby Sr. | Substance Abuse Rehabilitation Facility | 9 10th Ave Nw, Ardmore, OK 73401-5929 | 2010-10-05 |
| 1124350863 | Kevin Anthony Bone | Counselor | 9 10th Ave Nw, Ardmore, OK 73401-5929 | 2010-02-05 |
| 1306074471 | Vicki Kerley | Counselor | 9 10th Ave Nw, Ardmore, OK 73401-5929 | 2009-06-29 |
| 1427239755 | Andrean Kay Pittman | Counselor | 9 10th Ave Nw, Ardmore, OK 73401-5929 | 2007-11-15 |
| 1861556599 | Janet L Flowers | Counselor | 9 10th Ave Nw, Ardmore, OK 73401 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063607117 | Kickapoo Behavioral Health | Clinic/Center | 404 North Highway 102, Mcloud, OK 74851 | 2007-09-12 |
| 1649460650 | Payne County Drug Court, Inc. | Clinic/Center | 217 W 5th Ave, Suite 7, Stillwater, OK 74074-4056 | 2007-07-26 |
| 1174739130 | Community Action Agency Turning Point | Clinic/Center | 1607 Sw 15th St, Oklahoma City, OK 73108-6803 | 2007-05-15 |
| 1144331802 | Gateway To Prevention and Recovery, Inc. | Clinic/Center | 1010 E 45th St, Shawnee, OK 74804-2202 | 2006-08-31 |
| 1801826706 | Valley Hope Association | Clinic/Center | 1422 E 71 St, Ste F, Tulsa, OK 74136-5060 | 2006-07-04 |
| 1184654089 | Valley Hope Association | Clinic/Center | 6110 Nw 63rd St, Oklahoma City, OK 73132-7526 | 2006-07-04 |
| 1437198843 | United Community Action Program, Inc. | Clinic/Center | 600 Denver St, Pawnee, OK 74058-3522 | 2006-06-05 |
| 1649737990 | Compass Clinic | Clinic/Center | 701 Ne 36th St, Oklahoma City, OK 73105-7203 | 2019-02-22 |
| 1699016899 | The Center for Therapeutic Interventions | Clinic/Center | 4100 Se Adams Rd, Bartlesville, OK 74006-8437 | 2013-03-13 |
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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.