Roebuck, Lahoma T

Roebuck, Lahoma T is an individual health care provider with primary practice located at 1322 W Main , Antlers OK 74523-1322. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Roebuck, Lahoma T can be contacted via phone (580) 298-5062.

Contact Information

Primary practice address
1322 W Main Antlers OK 74523-1322
Phone: (580) 298-5062
Fax: (580) 298-9958
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11196 Maryland
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3668 Oklahoma

Profile Details

NPI number 1336311174
LBN Legal business name Roebuck, Lahoma T
Credentials MSW,LCSW,LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2008
Last updated Jul 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336311174 NPPES
Oregon MEDICAID 273855
Oregon MEDICAID 200111200A
Oregon Other HSZ204

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