MR. JOSEPH ROBERT EATHERLY LPC NPI 1720303134

NPI Information

NPI: 1720303134
Provider Name: MR. JOSEPH ROBERT EATHERLY, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
108 W MAIN ST
TISHOMINGO, OK
ZIP 73460
Phone: (580) 371-3019
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MR. Joseph Robert Eatherly, LPC is a professional counselor in Tishomingo, OK. MR. Joseph Robert Eatherly, LPC NPI is 1720303134. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

108 W MAIN ST
TISHOMINGO, OK
ZIP 73460-723
Phone: (580) 371-3019
Fax: (580) 371-0138

The enumeration date for this NPI number is 3/30/2010 and was last updated on 8/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	5004	OKLAHOMA	Yes
2	101Y00000X	Counselor				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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