Healthcare Provider Details

I. General information

NPI: 1518152529
Provider Name (Legal Business Name): TAMI RANAE HERNANDEZ MHR LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. TAMI RANAE TALLEY

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15951 LITTLE AXE DR
NORMAN OK
73026-9088
US

IV. Provider business mailing address

15951 LITTLE AXE DR
NORMAN OK
73026-9088
US

V. Phone/Fax

Practice location:
  • Phone: 405-447-0300
  • Fax:
Mailing address:
  • Phone: 405-447-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3125
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: