MEDICARE: MICHELLE HICKOX MASTERS LADC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	106H00000X	Marriage & Family Therapist	879	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194941716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE HICKOX MASTERS LADC

Provider Business Mailing Address
First Line	:	1549 NW 37TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-2804
Country	:	US
Telephone Number	:	405-525-9508
Fax Number	:

Provider Business Practice Location Address
First Line	:	1549 NW 37TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-2804
Country	:	US
Telephone Number	:	405-525-9508
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	02/26/2016

Similar Medicare Providers

1477403517 — HART COUNSELING PLLC
Practice Location Address:

1537 NW 37TH ST
OKLAHOMA CITY, OK
73118-2804

Practice Phone: 405-818-6454
Practice Fax:

1346571023 — MRS. IEASHIA MICOLE BRIGGS BUCKNER
Practice Location Address:

312 NE 28TH ST , SUITE 101
OKLAHOMA CITY, OK
73105-2804

Practice Phone: 405-231-3150
Practice Fax: 405-231-3157

1235461526 — MRS. JOLLY A VARGHESE M.ED, LPC
Practice Location Address:

312 NE 28TH ST STE 101
OKLAHOMA CITY, OK
73105-2804

Practice Phone: 405-231-3150
Practice Fax:

1386963767 — MRS. CHIQUITA LYNN BROWN
Practice Location Address:

312 NE 28TH ST
OKLAHOMA CITY, OK
73105-2804

Practice Phone: 405-231-3150
Practice Fax:

1790005593 — GREGORY S BROWN LPC
Practice Location Address:

312 NE 28TH ST
OKLAHOMA CITY, OK
73105-2804

Practice Phone: 405-231-3150
Practice Fax: 405-231-3157

1235441288 — ADRIAN PAPPAN
Practice Location Address:

312 NE 28TH ST , STE 101
OKLAHOMA CITY, OK
73105-2804

Practice Phone: 405-231-3150
Practice Fax: 405-231-3157

Directions to “ MICHELLE HICKOX MASTERS LADC” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.