MR. MANOTE PROMMART
NPI 1619208063
Counselor - Mental Health in Broken Arrow, OK

Q: What is Manote Prommart's NPI number?

The NPI number for Manote Prommart is 1619208063. It was assigned to this individual provider in the NPPES registry on January 25, 2010. The provider is also known as Mr. Manote Prommart.

Q: What is Manote Prommart's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Manote Prommart was last updated on January 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 25, 2010

1101 S 33RD ST, BROKEN ARROW, OK 74014(918) 497-8806 Get Directions Write a Review

NPPES record last updated: January 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Manote Prommart NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MANOTE PROMMART (NPI 1619208063) is an individual mental health provider in Broken Arrow, Oklahoma and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1619208063

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. MANOTE PROMMART

Location Address1101 S 33RD STBroken Arrow, OK 74014-2929

Mailing Address1101 S 33rd StBroken Arrow, OK 74014-2929 · (918) 497-8806

Phone(918) 497-8806

Sole ProprietorYes

Enumeration DateJanuary 25, 2010

✔ NPI 1619208063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1101 S 33RD ST, Broken Arrow, OK 74014

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Other Names 1

Professional Name (2)Mr. Manote Prommart

Other Identifiers 1

Medicaid100708360BOK

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 Manote Prommart's NPI number?

The NPI number for Manote Prommart is 1619208063. It was assigned to this individual provider in the NPPES registry on January 25, 2010. The provider is also known as Mr. Manote Prommart.

Where is Manote Prommart located?

Manote Prommart practices at 1101 S 33rd St, Broken Arrow, OK 74014. The listed phone number is (918) 497-8806.

What is Manote Prommart'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 Manote Prommart was last updated on January 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.