Provider Demographics
NPI:1982073870
Name:JAMI D HACKNEY, PLLC
Entity Type:Organization
Organization Name:JAMI D HACKNEY, PLLC
Other - Org Name:RAINBOW COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMI
Authorized Official - Middle Name:D'ANN
Authorized Official - Last Name:HACKNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MHR, LPC
Authorized Official - Phone:405-922-9673
Mailing Address - Street 1:116 RIVIERA DR
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-7267
Mailing Address - Country:US
Mailing Address - Phone:405-922-9673
Mailing Address - Fax:405-222-2809
Practice Address - Street 1:116 RIVIERA DR
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-7267
Practice Address - Country:US
Practice Address - Phone:405-922-9673
Practice Address - Fax:405-222-2809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3654101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty