Healthcare Provider Details

I. General information

NPI: 1245436161
Provider Name (Legal Business Name): RACHEL HOWARD MSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 09/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 E DOWNING ST BLDG 2
TAHLEQUAH OK
74464-2513
US

IV. Provider business mailing address

RR 1 BOX 910
STILWELL OK
74960-9785
US

V. Phone/Fax

Practice location:
  • Phone: 918-453-1217
  • Fax: 918-453-0971
Mailing address:
  • Phone: 918-507-1093
  • Fax: 918-453-0917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: