Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pamela Hathorn

Individual provider Peer Specialist · NPI 1225679178

Pamela Hathorn is a Peer Specialist in Ardmore, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

905 Holiday Dr
Ardmore, OK 73401-1216
Phone: (580) 226-5003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X (OK)
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1225679178
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 2, 2019
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

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