MELANIE ELAINE BROADWAY (NPI# 1558621979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558621979 |
Entity Type | Individual |
Full Name | MELANIE ELAINE BROADWAY |
Practice Address |
3540 Se 15th St Del City OK 73115-4906 |
Practice Telephone | 4053700562 |
Mailing Telephone | 4053700562 |
Enumeration Date | 2012-05-18 |
Last Update Date | 2012-05-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
3540 SE 15TH ST |
City | DEL CITY |
State | OK |
Zip Code | 73115-4906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811297229 | Glorious Serenity Counseling Services, LLC | Community/Behavioral Health | 3540 Se 15th St, Del City, OK 73115-4906 | 2010-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639776222 | Physicians Choice Dialysis of Midwest City LLC | Technician, Other | 3200 Se 29th Street, Del City, OK 73115 | 2020-10-06 |
1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
1285164392 | Jerry Medlock | Peer Specialist | 4312 Vfw Dr. Apt # 7, 4312 Vfw Dr. Apt # 7, Del City, OK 73115 | 2017-06-13 |
1326425588 | Peace of Mind Pediatrics Pllc | Clinic/Center | 5476 Main Street, 104, Del City, OK 73115 | 2015-04-27 |
1588077044 | Latasha Aujena Walker | Case Management | 4337 Se15th, Del City, OK 73115 | 2014-06-03 |
1164834701 | Affordable Dentures-midwest City, P.C. | Dentist | 5301 Main Street, Suite 111, Del City, OK 73115 | 2014-06-02 |
1629488028 | Nikke Sogunro | Counselor | 3517 Ridglea Ct., Del City, OK 73115 | 2014-05-07 |
1033539358 | Shelli Holtsman | Counselor | 4329 Se 40th Street, Del City, OK 73115 | 2014-04-25 |
1215238514 | Tonya Dailwayne Wilson | Counselor | 4016 S.e. 24th Street, Del City, OK 73115 | 2010-11-03 |
1851611099 | Kelly Camille Kingsley | Behavioral Analyst | 4018 Se 11th Street, Del City, OK 73115 | 2010-06-10 |
Find all providers in zip 73115 |
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 |
---|---|---|---|---|
1669820049 | Winston Silvester Johnson Prescott | Counselor | 3412 Hillside Dr, Del City, OK 73115-1742 | 2016-05-26 |
1326432931 | Theresa A Cooper | Counselor | 4013 Se 89th Ter, Del City, OK 73135-6347 | 2015-03-20 |
1073902995 | Marranesheia Payne | Counselor | 5505 Main St Ste 102, Del City, OK 73115-5508 | 2015-01-15 |
1629488028 | Nikke Sogunro | Counselor | 3517 Ridglea Ct., Del City, OK 73115 | 2014-05-07 |
1598102410 | Lavetra Taylor | Counselor | 3236 Beechwood Dr, Del City, OK 73115-4963 | 2013-06-01 |
1326387200 | Cristal Parkinson | Counselor | 2209 Connie Dr, Del City, OK 73115-4021 | 2013-02-12 |
1619211349 | Moses Sgunro | Counselor | 3517 Ridglea Ct, Del City, OK 73115-1831 | 2012-11-19 |
1477848638 | Ericka M Williams | Counselor | 3305 Dentwood Ter, Del City, OK 73115-1942 | 2011-06-16 |
1871964106 | Valerie Steele | Counselor | 5505 Main St, Suite 102 and 103, Del City, OK 73115-5509 | 2015-10-13 |
1184018517 | Cheryl Denese Sims | Counselor | 3945 Se 15th St, Suite 107, Del City, OK 73115-2249 | 2015-03-24 |
Find all providers in DEL CITY |
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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.