Provider Demographics
NPI:1336390673
Name:HATFIELD, RACHEL MICHELLE (MS, LPC, LMFT, RPT)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:MICHELLE
Last Name:HATFIELD
Suffix:
Gender:
Credentials:MS, LPC, LMFT, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21
Mailing Address - Street 2:
Mailing Address - City:ROLAND
Mailing Address - State:OK
Mailing Address - Zip Code:74954-0021
Mailing Address - Country:US
Mailing Address - Phone:479-208-6464
Mailing Address - Fax:918-516-0482
Practice Address - Street 1:5004 S U ST STE 203
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-3600
Practice Address - Country:US
Practice Address - Phone:479-208-6464
Practice Address - Fax:918-516-0482
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5262101YP2500X
ARM1306006106H00000X
OK1115106H00000X
ARP1306053101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist