Provider Demographics
NPI:1578893244
Name:RIEKEN-HOBBS, LAUREN M (MED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:M
Last Name:RIEKEN-HOBBS
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11220 NW 105TH ST
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-1804
Mailing Address - Country:US
Mailing Address - Phone:405-818-1477
Mailing Address - Fax:405-702-9031
Practice Address - Street 1:3838 NW 36TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2970
Practice Address - Country:US
Practice Address - Phone:405-702-9032
Practice Address - Fax:405-702-9031
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-01
Last Update Date:2022-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4195101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200328780AMedicaid