Healthcare Provider Details

I. General information

NPI: 1720576978
Provider Name (Legal Business Name): RACHEL KATE AUSTIN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL KATE ROBERDS LMFT

II. Dates (important events)

Enumeration Date: 04/24/2018
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11810 WILL SAMPSON RD
OKMULGEE OK
74447-9042
US

IV. Provider business mailing address

11810 WILL SAMPSON RD
OKMULGEE OK
74447-9042
US

V. Phone/Fax

Practice location:
  • Phone: 918-752-4738
  • Fax:
Mailing address:
  • Phone: 918-752-4738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT01304
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: