Healthcare Provider Details

I. General information

NPI: 1275808974
Provider Name (Legal Business Name): TRICIA ANN BURKS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2012
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 FAWCETT AVE
TACOMA WA
98402-5503
US

IV. Provider business mailing address

5717 S FAIRGROUNDS
STILLWATER OK
74074-6234
US

V. Phone/Fax

Practice location:
  • Phone: 253-396-5999
  • Fax:
Mailing address:
  • Phone: 360-808-7487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: