Doctor Name: | JIMMIE FITE |
NPI Number: | 1326468570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 205 S J T Stites Blvd Sallisaw, OK - 749559323 |
Business Phone Number: | 9187757787 |
Business Fax Number: | 9187750328 |
Mailing Address: | 205 S J T Stites Blvd, SALLISAW |
State: | OK |
Postal Code: | 749559323 |
Phone Number: | 9187757787 |
Fax Number: | 9187750328 |
NPI Enumeration Date: | 04/25/2014 |
NPI Last Update Date: | 04/25/2014 |
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 |