Healthcare Provider Details

I. General information

NPI: 1861101081
Provider Name (Legal Business Name): RMC THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2022
Last Update Date: 11/16/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2517 W QUINCY ST
BROKEN ARROW OK
74012-6220
US

IV. Provider business mailing address

2517 W QUINCY ST
BROKEN ARROW OK
74012-6220
US

V. Phone/Fax

Practice location:
  • Phone: 918-760-0440
  • Fax:
Mailing address:
  • Phone: 918-760-0440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: RACHEL MARIE CHAPPELL
Title or Position: OWNER/ THERAPIST/ OPERATOR
Credential: LCSW
Phone: 918-760-0440