RACHIEL ANN ENNIS LPC UNDERSUPERVISION NPI 1780915207

NPI Information

NPI: 1780915207
Provider Name: RACHIEL ANN ENNIS, LPC UNDERSUPERVISION
Classification: Clinic/Center - 261QM0801X
Entity Type: Individual

Specialization: Mental Health (Including Community Mental Health Center)

Address:
721 S GEORGE NIGH EXPY
MCALESTER, OK
ZIP 74501
Phone: (918) 470-7069
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Rachiel Ann Ennis, LPC UNDERSUPERVISION is a mental health (including community mental health center) clinic center in Mcalester, OK. Rachiel Ann Ennis, LPC UNDERSUPERVISION NPI is 1780915207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

721 S GEORGE NIGH EXPY
MCALESTER, OK
ZIP 74501-400
Phone: (918) 470-7069
Fax: (918) 302-0405

The enumeration date for this NPI number is 1/22/2010 and was last updated on 1/22/2010.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100746580A	MEDICAID	OKLAHOMA

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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