MILLENNIUM COMMUNITY SERVICES, LLC (NPI# 1669809893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669809893 |
| Entity Type | Organization |
| Organization Name | MILLENNIUM COMMUNITY SERVICES, LLC |
| Practice Address |
1212 Reynolds Ave Poteau OK 74953-4724 |
| Mailing Address |
3816 Shadowridge Dr Norman OK 73072-5308 |
| Practice Telephone | 9186490172 |
| Practice Fax Number | 9186490315 |
| Mailing Telephone | 4056270276 |
| Mailing Fax Number | 8887538162 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2019-08-11 |
| Authorized Official Name | DR. WADE L HAMIL (CEO) |
| Authorized Official Telephone | 4055739905 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200129170E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669721288 | Millennium Community Services, LLC | Community/Behavioral Health | 2727 S Division St, Guthrie, OK 73044-6804 | 2012-08-29 |
| 1699395491 | Millennium Community Services, LLC | Clinic/Center | 23 N 8th St, Duncan, OK 73533-4601 | 2020-04-21 |
| 1649780131 | Millennium Community Services, LLC | Clinic/Center | 503 S Central Ave, Idabel, OK 74745-6061 | 2017-10-10 |
| 1285161679 | Millennium Community Services, LLC | Clinic/Center | 245 W Wilshire Blvd Ste A, Oklahoma City, OK 73116-7754 | 2017-05-16 |
| 1053742890 | Millennium Community Services, LLC | Clinic/Center | 221 W 3rd St, Hobart, OK 73651-3603 | 2013-12-04 |
| 1477803559 | Millennium Community Services, LLC | Community/Behavioral Health | 908 Dallas St, Talihina, OK 74571-1268 | 2012-09-14 |
| 1396927497 | Millennium Community Services, LLC | Clinic/Center | 448 36th Ave Nw Ste 101, Norman, OK 73072-4743 | 2007-11-29 |
| Street Address |
1212 REYNOLDS AVE |
| City | POTEAU |
| State | OK |
| Zip Code | 74953-4724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568897585 | Millennium Medical Services, L.L.C. | Counselor | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2013-09-10 |
| 1811518301 | Bonnie Dyer | Registered Nurse | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2020-05-06 |
| 1376163196 | Kelsey White | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2020-04-22 |
| 1063052538 | Ross Barnhart | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2020-01-13 |
| 1215575451 | Jacqueline Kay Lindenau | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-12-18 |
| 1457996423 | Amber Dishmon | Counselor | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-11-13 |
| 1124662416 | Kaila Willet | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-10-30 |
| 1780227454 | Caleb Christopher Blevins | Peer Specialist | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-10-24 |
| 1609419845 | Justin Mclaughlin | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-10-21 |
| 1699317008 | Natasha Lewis | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861556342 | Sequelcare of Oklahoma, LLC | Clinic/Center | 1907 N Broadway St, Poteau, OK 74953-2639 | 2006-12-20 |
| 1245243450 | S-okla Psychological Services, Inc. | Clinic/Center | 309 Rogers Ave, Poteau, OK 74953-4227 | 2006-08-15 |
| 1073071445 | Cherry Tree Counseling Pllc | Clinic/Center | 2704 N Broadway St, Poteau, OK 74953-5402 | 2019-03-05 |
| 1205344256 | Alexandria Selby | Clinic/Center | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2018-01-11 |
| 1245747682 | Kempton Michael Reynolds | Clinic/Center | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2018-01-08 |
| 1669987897 | Kathy L. Davies Lpc Pllc | Clinic/Center | 1301 S Broadway Ave, Poteau, OK 74953-5206 | 2017-12-11 |
| 1154485225 | Sequelcare of Oklahoma, LLC | Clinic/Center | 1907 N Broadway St, Poteau, OK 74953-2639 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
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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.