MR. TOMMY PACK
NPI 1124399282
Counselor - Mental Health in Tahlequah, OK
About Mr. Tommy Pack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TOMMY PACK (NPI 1124399282) is an individual mental health provider in Tahlequah, Oklahoma and active in the NPI registry since January 2012.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tommy Pack's NPI number?
The NPI number for Tommy Pack is 1124399282. It was assigned to this individual provider in the NPPES registry on January 21, 2012.
Where is Tommy Pack located?
Tommy Pack practices at 15526 N Bryant Rd, Tahlequah, OK 74464. The listed phone number is (918) 457-6129.
What is Tommy Pack's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Tommy Pack was last updated on January 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Tommy Pack · NPI 1124399282
Mental Health provider in Tahlequah, Oklahoma. Individual provider, active in the CMS NPPES registry since January 21, 2012.
## Identity
- **NPI:** 1124399282 (Entity type: Individual)
- **Enumerated:** January 21, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15526 N BRYANT RD, Tahlequah, OK 74464-0201
- **Phone:** (918) 457-6129
## Record status
- **NPPES last updated:** January 21, 2012
---
Source: [NPI Profile](https://npiprofile.com/npi/1124399282) · Data from the CMS NPPES public registry.