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General NPI Number Information
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NPI Number | 1841838364
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Entity Type | Organization
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Legal Business Name | TRICIA MYERS, M.S., LPC, LADC, PLLC
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Dates
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Enumeration Date | 12/16/2019
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Last Update Date | 12/16/2019
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Provider Practice Location Address
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Address Line | 6612 NW 42ND ST
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City | BETHANY
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State | OK
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Zip | 73008-2764
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Country | US
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Telephone | 405-693-6902
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 NW 34TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-5615
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Country | US
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Telephone | 405-693-6902
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TRICIA MYERS
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Credential | LPC, LADC
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Telephone | 405-693-6902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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