Individual provider · Type 1 NPI

Pamela Hathorn

Mental Health Clinic/Center (Including Community Mental Health Center) · Ardmore, OK

NPI number 1225679178 Active

Practice location

905 Holiday Dr
Ardmore, OK 73401-1216

Call (580) 226-5003 Map

Mailing address

320 Sinclair St
Healdton, OK 73438-2632

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1225679178

Pamela Hathorn's National Provider Identifier is 1225679178, issued on Oct 2, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Ardmore, OK. The record was last updated on May 21, 2026.