| 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 |
|---|---|
| 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 | |
Vicki June Barton, M.ED., LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 6801 Seabiscuit Ln, Guthrie, OK 73044 Phone: 570-250-9614 | |
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 |