Provider Demographics
NPI:1508257411
Name:TREAT, TOMI RACHELLE (MHR-LPC)
Entity Type:Individual
Prefix:MRS
First Name:TOMI
Middle Name:RACHELLE
Last Name:TREAT
Suffix:
Gender:F
Credentials:MHR-LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12493 N 167TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74021-5196
Mailing Address - Country:US
Mailing Address - Phone:918-277-6511
Mailing Address - Fax:
Practice Address - Street 1:1601 W OKMULGEE ST STE M
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-6700
Practice Address - Country:US
Practice Address - Phone:918-277-6511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-13
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
OK6739101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator