Healthcare Provider Details

I. General information

NPI: 1801714035
Provider Name (Legal Business Name): HOMETOWN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W MAIN ST
TISHOMINGO OK
73460-1726
US

IV. Provider business mailing address

602 MEELER LN
OAK POINT TX
75068-6116
US

V. Phone/Fax

Practice location:
  • Phone: 580-565-9035
  • Fax:
Mailing address:
  • Phone: 972-533-1825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARTA FLORES
Title or Position: OWNER
Credential:
Phone: 972-533-1825