AUDREY JUNE HALFACRE (NPI# 1679105068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679105068 |
| Entity Type | Individual |
| Full Name | AUDREY JUNE HALFACRE |
| Other Name | AUDREY JUNE MAHER |
| Credential | BS, MHA |
| Practice Address |
4803 Ridge St Tahlequah OK 74464-5644 |
| Practice Telephone | 9183160130 |
| Mailing Telephone | 9183160130 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OK | Behavioral Health & Social Service Providers |
| Street Address |
4803 RIDGE ST |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-5644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194008698 | Kerby Behavioral Development, Pllc | Counselor | 402 Janet St, Tahlequah, OK 74464-7028 | 2011-09-21 |
| 1376847087 | Dana Freeman | Counselor | 1276 S. Muskogee Ave., Tahlequah, OK 74464 | 2011-01-10 |
| 1811291586 | Ben B Barnett | Counselor | 17091 S. Muskogee Ave., Tahlequah, OK 74464 | 2011-01-10 |
| 1124338272 | Kathy Hampton-swaffar | Counselor | 1200 W 4th St Ste D, Tahlequah, OK 74464-5013 | 2010-10-07 |
| 1316253586 | Sadie Terecy Blum | Counselor | 1 Plaza South St, Tahlequah, OK 74464-4750 | 2010-08-26 |
| 1316198666 | Kendall D Dean | Counselor | 108 N Lena Ave, Tahlequah, OK 74464-3327 | 2008-10-06 |
| 1386801942 | Levi Taylor Keehler | Counselor | 2063 Mahaney Ave, Tahlequah, OK 74464-5731 | 2008-05-21 |
| 1255501144 | Callie Ann Hathcoat | Counselor | 720 College Ct, Tahlequah, OK 74464-4741 | 2008-03-06 |
| 1700076387 | Cora L. Eckenberger | Counselor | 1910 S Muskogee Ave, Tahlequah, OK 74464-5437 | 2007-07-30 |
| 1245436161 | Rachel Howard | Counselor | 1606 E Downing St Bldg 2, Tahlequah, OK 74464-2513 | 2007-06-26 |
| Find all providers in TAHLEQUAH | ||||
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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.