Healthcare Provider Details

I. General information

NPI: 1700740594
Provider Name (Legal Business Name): RACHEL HIXSON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 S MUSTANG RD
YUKON OK
73099-7314
US

IV. Provider business mailing address

7325 NW 125TH ST
OKLAHOMA CITY OK
73142-2502
US

V. Phone/Fax

Practice location:
  • Phone: 405-293-3150
  • Fax:
Mailing address:
  • Phone: 405-774-0516
  • 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: RACHEL HIXSON
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 405-774-0516