| Doctor Name: | MISS STEPHANIE DAWN HATHCOAT |
| NPI Number: | 1184825523 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADC US |
| License Number: | |
| Business Practice Address: | 1515 W Chickasaw Ave Sallisaw, OK - 749557201 |
| Business Phone Number: | 9187752657 |
| Business Fax Number: | 9187750439 |
| Mailing Address: | Po Box 2, PARK HILL |
| State: | OK |
| Postal Code: | 744510002 |
| Phone Number: | 9187752657 |
| Fax Number: | 9187750439 |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |