SEQUELCARE OF OKLAHOMA, LLC (NPI# 1801058680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801058680 |
| Entity Type | Organization |
| Organization Name | SEQUELCARE OF OKLAHOMA, LLC |
| Practice Address |
103 N 3rd Ave Durant OK 74701-4700 |
| Mailing Address |
Po Box 1030 Antlers OK 74523-1030 |
| Practice Telephone | 5802982830 |
| Mailing Telephone | 5802982830 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2012-12-31 |
| Authorized Official Name | DOROTHY METCALF (EXEC DIR) |
| Authorized Official Telephone | 5802982830 |
| Authorized Official Credential | MSW, LCSW, LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| 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 |
| 1518021286 | Sequelcare of Oklahoma, LLC | Clinic/Center | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-20 |
| 1740344290 | Sequelcare of Oklahoma, LLC | Clinic/Center | 411 S Central Ave, Idabel, OK 74745-6059 | 2006-12-20 |
| 1861556342 | Sequelcare of Oklahoma, LLC | Clinic/Center | 1907 N Broadway St, Poteau, OK 74953-2639 | 2006-12-20 |
| 1720142532 | Sequelcare of Oklahoma, LLC | Case Management | 100 N Broadway St, Broken Bow, OK 74728-3934 | 2006-12-19 |
| 1073775854 | Sequelcare of Oklahoma, LLC | Community/Behavioral Health | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2008-07-02 |
| 1194889261 | Sequelcare of Oklahoma, LLC | Case Management | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-21 |
| 1639233703 | Sequelcare of Oklahoma, LLC | Clinic/Center | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2006-12-21 |
| 1891859963 | Sequelcare of Oklahoma, LLC | Case Management | 411 S Central Ave, Idabel, OK 74745-6059 | 2006-12-21 |
| 1508920679 | Sequelcare of Oklahoma, LLC | Case Management | 1907 N Broadway St, Poteau, OK 74953-2639 | 2006-12-21 |
| Street Address |
103 N 3RD AVE |
| City | DURANT |
| State | OK |
| Zip Code | 74701-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518021286 | Sequelcare of Oklahoma, LLC | Clinic/Center | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-20 |
| 1306248513 | Terrance Dunn | Social Worker | 103 N 3rd Ave, Durant, OK 74701-4700 | 2014-09-18 |
| 1538561741 | Jaleesa Dunn | Social Worker | 103 N 3rd Ave, Durant, OK 74701-4700 | 2014-09-18 |
| 1538413596 | Kim Denise Burns | Counselor | 103 N 3rd Ave, Durant, OK 74701-4700 | 2012-10-30 |
| 1154507259 | Wendy Beranek | Psychologist | 103 N 3rd Ave, Durant, OK 74701-4700 | 2008-01-18 |
| 1376724609 | Eric House | Counselor | 103 N 3rd Ave, Durant, OK 74701-4700 | 2007-11-15 |
| 1316144363 | Becky Bell | Counselor | 103 N 3rd Ave, Durant, OK 74701-4700 | 2007-07-02 |
| 1710199575 | Vicki Littleton | Counselor | 103 N 3rd Ave, Durant, OK 74701-4700 | 2007-05-04 |
| 1194889261 | Sequelcare of Oklahoma, LLC | Case Management | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-21 |
| 1104980275 | Sequelcare of Oklahoma, LLC | Case Management | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565512 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 324 N Washington Ave, Durant, OK 74701-3642 | 2019-12-16 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1093131328 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 127 North 3rd Avenue, Durant, OK 74701-0000 | 2014-03-11 |
| 1588951735 | Hartsell Psychological Services, Inc. | Community/Behavioral Health | 1604 N Washington, Durant, OK 74701 | 2011-07-07 |
| 1831409440 | Center for Psychological Development, Inc. | Community/Behavioral Health | 142 West Main Street, Durant, OK 74701 | 2010-10-15 |
| 1598959736 | Premier Family Life & Treatment Center, LLC | Community/Behavioral Health | 1314 W Evergreen St, Durant, OK 74701-4726 | 2007-08-30 |
| 1568587095 | Kiamichi Council On Alcoholism and Or Other Drug Abuse, Inc. | Community/Behavioral Health | 307 W Elm St, Suite 1, Durant, OK 74701-4109 | 2007-03-21 |
| 1982766739 | Hands of Hope, Inc. | Community/Behavioral Health | 4310 W University Blvd, Durant, OK 74701-4577 | 2006-12-15 |
| 1013092626 | Lifespan Counseling Professionals | Community/Behavioral Health | 212 W Evergreen St, Durant, OK 74701-4710 | 2006-10-25 |
| 1093349003 | Mental Health Service of Southern Oklahoma | Community/Behavioral Health | 2425 W University Blvd, Durant, OK 74701-2942 | 2020-02-28 |
| Find all providers in DURANT | ||||
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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.