RACHIEL ANN ENNIS LPC UNDERSUPERVISION NPI 1780915207

NPI Information

  • NPI: 1780915207
  • Provider Name: RACHIEL ANN ENNIS, LPC UNDERSUPERVISION
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Individual
  • Address: 721 S GEORGE NIGH EXPY
    MCALESTER, OK
    ZIP 74501
  • Phone: (918) 470-7069

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NPI Details

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
1261QM0801XClinic/CenterMental 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
1100746580AMEDICAIDOKLAHOMA

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: 11/21/2025

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