Elisia Porter, | |
2493 Ethel Ln, Guthrie, OK 73044-6455 | |
(405) 246-5131 | |
Not Available |
Full Name | Elisia Porter |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 2493 Ethel Ln, Guthrie, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033469796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Community Pathways Unlimited Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659328284 PECOS PAC ID: 6608776349 Enrollment ID: O20040109001005 |
Mailing Address | Practice Location Address |
---|---|
Elisia Porter, 2493 Ethel Ln, Guthrie, OK 73044-6455 Ph: (405) 246-5131 | Elisia Porter, 2493 Ethel Ln, Guthrie, OK 73044-6455 Ph: (405) 246-5131 |
Dawn Dannette Lewis, BS, MS Counselor Medicare: Medicare Enrolled Practice Location: 1916 E Perkins Ave, Guthrie, OK 73044 Phone: 405-282-8232 Fax: 405-282-3305 | |
Kayla N. Ripley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Oklahoma Ave, Suite 218-219, Guthrie, OK 73044 Phone: 405-282-2934 | |
Zanade Sharea Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Oak Park Apt 44, Guthrie, OK 73044 Phone: 405-370-4815 | |
Denise Childress, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2403 S Division St, Suite C & D, Guthrie, OK 73044 Phone: 405-260-3441 Fax: 405-260-3442 | |
Mr. Michael Pizinski, MED, BS IN HEALTH Counselor Medicare: Not Enrolled in Medicare Practice Location: 5916 Sw Morgan Dr, Guthrie, OK 73044 Phone: 228-369-9149 | |
Heather Ann Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11474 S Midwest Blvd, Guthrie, OK 73044 Phone: 405-505-9593 |