MRS. MALITA ELICE GREEN (NPI# 1891051330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891051330 |
| Entity Type | Individual |
| Full Name | MRS. MALITA ELICE GREEN |
| Credential | B.A. |
| Practice Address |
102 Ashley Dr Shawnee OK 74804-9710 |
| Practice Telephone | 4058085875 |
| Mailing Telephone | 4058085875 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
102 ASHLEY DR |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-9710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417431081 | Cura Counseling and Professional Development LLC | Counselor | 611 N Bonita Ave, Shawnee, OK 74801-6038 | 2018-09-19 |
| 1134614589 | Sayble Paige Turner | Counselor | 600 W Independence St Ste 1000, Shawnee, OK 74804-4320 | 2018-06-28 |
| 1548707169 | Courtney J Vaughn | Counselor | 600 W Independence St Ste 9010, Shawnee, OK 74804-4320 | 2017-01-20 |
| 1538567284 | Virgil Newport Jr. | Counselor | 2524 N Harrison St Trlr 8, Shawnee, OK 74804-3103 | 2014-12-11 |
| 1386064426 | Cassandra Alexander | Counselor | 6305 Moon Lake Cir, Shawnee, OK 74804-2649 | 2014-04-16 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1386981017 | Janet Wilson | Counselor | 6826 Lackman Rd, Shawnee, KS 66217-9595 | 2013-01-15 |
| 1275800997 | Latrice Vernice Jackson | Counselor | 1415 E 10th St, 2425 Lenore St., Shawnee, OK 74801-7801 | 2011-11-23 |
| 1689941510 | Reginald Johnson | Counselor | 14203 Brangus Rd, Shawnee, OK 74804-3330 | 2011-11-21 |
| Find all providers in SHAWNEE | ||||
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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.