Healthcare Provider Details

I. General information

NPI: 1013346964
Provider Name (Legal Business Name): NAOMI HANKINS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NAOMI CROWLEY

II. Dates (important events)

Enumeration Date: 11/01/2013
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 E MAIN ST
NORMAN OK
73071-5300
US

IV. Provider business mailing address

11429 CARRIAGE DR
YUKON OK
73099-8102
US

V. Phone/Fax

Practice location:
  • Phone: 405-360-5100
  • Fax:
Mailing address:
  • Phone: 918-704-4307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: