Provider Demographics
NPI:1780700476
Name:HELPING OTHERS PROGRESS EFFECTIVELY
Entity type:Organization
Organization Name:HELPING OTHERS PROGRESS EFFECTIVELY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:EUBANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-226-0080
Mailing Address - Street 1:301 W MAIN ST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-6337
Mailing Address - Country:US
Mailing Address - Phone:580-226-0080
Mailing Address - Fax:580-226-0082
Practice Address - Street 1:301 W MAIN ST
Practice Address - Street 2:SUITE 307
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-6337
Practice Address - Country:US
Practice Address - Phone:580-226-0080
Practice Address - Fax:580-226-0082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NO LICENSE171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty