MISS LATOSHA DAWN HICKMAN (NPI# 1558527911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558527911 |
| Entity Type | Individual |
| Full Name | MISS LATOSHA DAWN HICKMAN |
| Credential | CADC UNDER SUPERVISI |
| Practice Address |
2701 N Oklahoma Ave Oklahoma City OK 73105-2724 |
| Practice Telephone | 4055288686 |
| Practice Fax Number | 4055288692 |
| Mailing Telephone | 4055288686 |
| Mailing Fax Number | 4055288692 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100742400B | 05 | |
| OK | 100742400D | 05 | |
| OK | 100742400F | 05 |
| Street Address |
2701 N OKLAHOMA AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73105-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649309626 | Cope | Clinic/Center | 2701 N Oklahoma Ave, Oklahoma City, OK 73105-2724 | 2007-03-05 |
| 1477017838 | Nathan Sanders | Marriage & Family Therapist | 2701 N Oklahoma Ave, Oklahoma City, OK 73105-2724 | 2019-01-29 |
| 1821589672 | Austin Knox | Counselor | 2701 N Oklahoma Ave, Oklahoma City, OK 73105-2724 | 2018-05-27 |
| 1154849883 | Jessica Lynn Hassell | Peer Specialist | 2701 N Oklahoma Ave, Oklahoma City, OK 73105-2724 | 2017-09-01 |
| 1447794730 | Eunice Melakayil | Counselor | 2701 N Oklahoma Ave, Oklahoma City, OK 73105-2724 | 2016-12-06 |
| 1306394390 | Neal C Swanigan | Peer Specialist | 2701 N Oklahoma Ave, Oklahoma City, OK 73105-2724 | 2016-09-19 |
| 1376923698 | Ashley Edmonson | Case Manager/Care Coordinator | 2701 N Oklahoma Ave, Oklahoma City, OK 73105-2724 | 2015-06-02 |
| 1346627254 | Jacob Bakare | Registered Nurse | 2701 N Oklahoma Ave, Oklahoma City, OK 73105-2724 | 2015-04-29 |
| 1609208222 | Stela Veskova Mccullough | Counselor | 2701 N Oklahoma Ave, Oklahoma City, OK 73105-2724 | 2013-08-06 |
| 1508152448 | Jermaine Peterson | Counselor | 2701 N Oklahoma Ave, Oklahoma City, OK 73105-2724 | 2011-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| 1104468834 | Inas Z. Yacoub | Pathology | 921 N.e. 23rd St., Okc, OK 73105 | 2019-10-15 |
| 1861988495 | Grant Weirich | Registered Nurse | 4420 N Lincoln, Oklahoma City, OK 73105 | 2018-07-06 |
| 1073043865 | Joseph W Lee I | Case Manager/Care Coordinator | 2701 N. Oklahoma Ave, Oklahoma City, OK 73105 | 2017-06-14 |
| 1356886840 | Melissa Thompson | Counselor | 4130 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-12-20 |
| 1285093484 | Dianne Gray | Student in an Organized Health Care Education/Training Program | 440- N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-02-16 |
| 1124392600 | Ricki Kelley | Counselor | 330 Ne 59th St., Oklahoma City, OK 73105 | 2012-03-01 |
| 1962770727 | Lakisha Murray | Counselor | 4400 N Lincoln, Oklahoma City, OK 73105 | 2011-12-08 |
| 1760700827 | Deborah Proctor | Counselor | 321 North East 28th, Suite #101, Oklahoma City, OK 73105 | 2010-05-13 |
| 1548588791 | Raganda Washington | Counselor | 321 N.e. 28th, Suite 101, Okc, OK 73105 | 2010-05-12 |
| Find all providers in zip 73105 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839994 | Jill Brittny Johnson | Counselor | 2840 Nw 31st St, Oklahoma City, OK 73112-7407 | 2020-07-28 |
| 1760021984 | Damilola Mosebolatan Akintola | Counselor | 5013 Oak Manor Dr, Oklahoma City, OK 73135-2235 | 2020-01-06 |
| 1376185934 | Kevin Pierson | Counselor | 8536 N Lindsay Ave, Oklahoma City, OK 73114-0801 | 2019-10-15 |
| 1922651249 | Timothy Aaron Vick | Counselor | 5101 Nw 26th St, Oklahoma City, OK 73127-1723 | 2019-07-17 |
| 1093378218 | Crentha S Turner | Counselor | 11227 Nile Ave, Oklahoma City, OK 73114-7071 | 2019-04-15 |
| 1720564933 | Dawn Lea Long Counseling LLC | Counselor | 5350 S Western Ave Ste 211, Oklahoma City, OK 73109-4525 | 2018-07-11 |
| 1902395494 | Tisha Lee Rodriguez | Counselor | 4001 N Classen Blvd Ste 105, Oklahoma City, OK 73118-2668 | 2018-05-09 |
| 1306349378 | Charlene Hester | Counselor | 1000 Sw 44th St Ste 200, Oklahoma City, OK 73109-3629 | 2018-03-15 |
| 1114425121 | Jacob Ian Arnold | Counselor | 521 N Council Rd Apt G, Oklahoma City, OK 73127-4971 | 2018-01-24 |
| 1225546534 | Christopher Dewayne Grant | Counselor | 807 Ne 21st St, Oklahoma City, OK 73105-8213 | 2018-01-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73105 |
Please comment or provide details below to improve the information on MISS LATOSHA DAWN HICKMAN.
| 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.