Healthcare Provider Details

I. General information

NPI: 1770011389
Provider Name (Legal Business Name): DEBORAH TIGER LPC-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2017
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 E THOMAS AVE
STILLWATER OK
74075-2600
US

IV. Provider business mailing address

1827 S 20TH ST
CHICKASHA OK
73018-5213
US

V. Phone/Fax

Practice location:
  • Phone: 217-721-6604
  • Fax:
Mailing address:
  • Phone: 217-721-6604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC07559
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: