SEQUELCARE OF OKLAHOMA, LLC (NPI# 1861556342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861556342 |
Entity Type | Organization |
Organization Name | SEQUELCARE OF OKLAHOMA, LLC |
Practice Address |
1907 N Broadway St Poteau OK 74953-2639 |
Mailing Address |
Po Box 1030 Antlers OK 74523-1030 |
Practice Telephone | 9186490230 |
Mailing Telephone | 5802982830 |
Mailing Fax Number | 5802986723 |
Enumeration Date | 2006-12-20 |
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 | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100744370F | 05 |
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 |
1720142532 | Sequelcare of Oklahoma, LLC | Case Management | 100 N Broadway St, Broken Bow, OK 74728-3934 | 2006-12-19 |
1801058680 | Sequelcare of Oklahoma, LLC | Community/Behavioral Health | 103 N 3rd Ave, Durant, OK 74701-4700 | 2008-07-02 |
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 |
1907 N BROADWAY ST |
City | POTEAU |
State | OK |
Zip Code | 74953-2639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790980050 | Melanie Wortham | Counselor | 1907 N Broadway St, Poteau, OK 74953-2639 | 2007-06-18 |
1821293028 | Chris Benson | Counselor | 1907 N Broadway St, Poteau, OK 74953-2639 | 2007-06-18 |
1508920679 | Sequelcare of Oklahoma, LLC | Case Management | 1907 N Broadway St, Poteau, OK 74953-2639 | 2006-12-21 |
1154485225 | Sequelcare of Oklahoma, LLC | Clinic/Center | 1907 N Broadway St, Poteau, OK 74953-2639 | 2006-12-21 |
1699839761 | Sequelcare of Oklahoma, LLC | Case Management | 1907 N Broadway St, Poteau, OK 74953-2639 | 2006-12-21 |
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 |
---|---|---|---|---|
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 |
1669809893 | Millennium Community Services, LLC | Clinic/Center | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2013-10-02 |
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.