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General NPI Number Information
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NPI Number | 1750215919
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Entity Type | Organization
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Legal Business Name | SACRED SKY PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 2300 MCKOWN DR
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City | NORMAN
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State | OK
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Zip | 73072-6678
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Country | US
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Telephone | 405-458-4491
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Fax | 405-321-3612
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Provider Business Mailing Address
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Address Line | 2300 MCKOWN DR
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City | NORMAN
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State | OK
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Zip | 73072-6678
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Country | US
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Telephone | 405-458-4491
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Fax | 405-321-3612
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Authorized Official
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Title or Position | OWNER
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Name | EMILLIA HACKER
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Credential | LPC
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Telephone | 405-458-4491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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