Allira M Elliott
Individual provider Active NPI Counselor · Blanchard, OK
NPI 1619263100 · NPPES record last updated Jun 22, 2011
Key facts
- NPI
- 1619263100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2918 Mallard Cir
Blanchard, OK 73010-8989 - Phone
- (850) 501-2815
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2918 Mallard Cir
Blanchard, OK 73010-8989
Mailing address
2918 Mallard Cir
Blanchard, OK 73010-8989
Phone (850) 501-2815
Other providers in Blanchard, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.