Healthcare Provider Details

I. General information

NPI: 1023244944
Provider Name (Legal Business Name): THOMASINE L. FIFE LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2009
Last Update Date: 06/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W 7TH ST STE 102
OKMULGEE OK
74447-5007
US

IV. Provider business mailing address

100 W 7TH ST STE 102
OKMULGEE OK
74447-5007
US

V. Phone/Fax

Practice location:
  • Phone: 918-758-1930
  • Fax:
Mailing address:
  • Phone: 918-758-1930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: