Healthcare Provider Details

I. General information

NPI: 1669604575
Provider Name (Legal Business Name): ELIZABETH A HEMME M.C.P., LADC-MH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LIZ HEMME M.C.P., LADC-MH

II. Dates (important events)

Enumeration Date: 08/12/2009
Last Update Date: 09/29/2026
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1327 S 8TH ST
KINGFISHER OK
73750-4205
US

IV. Provider business mailing address

1327 S 8TH ST
KINGFISHER OK
73750-4205
US

V. Phone/Fax

Practice location:
  • Phone: 405-538-6407
  • Fax:
Mailing address:
  • Phone: 405-538-6407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1199
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1199
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: