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NPI Code Detail

MEDICARE: TAMIKA SUTTON-LIPSEY LCSW

MEDICARE: TAMIKA SUTTON-LIPSEY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1578850483
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMIKA SUTTON-LIPSEY LCSW
Provider Business Mailing Address
First Line : 2508 E 71ST ST STE C
Second Line :
City : TULSA
State : OK
Zip : 74136-5572
Country : US
Telephone Number : 918-794-6570
Fax Number : 918-340-5189
Provider Business Practice Location Address
First Line : 2508 E 71ST ST STE C
Second Line :
City : TULSA
State : OK
Zip : 74136-5572
Country : US
Telephone Number : 918-794-6570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2011
Last Update Date : 02/16/2024

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Directions to “ TAMIKA SUTTON-LIPSEY LCSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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