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NPI Code Detail

MEDICARE: MR. MICHAEL WHITE MS, LPC

MEDICARE: MR. MICHAEL WHITE MS, LPC
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 Counselor5975OK

Other Identifiers

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

General Provider Information

NPI Number : 1568712461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL WHITE MS, LPC
Provider Business Mailing Address
First Line : 6130 E 32ND ST STE 116
Second Line :
City : TULSA
State : OK
Zip : 74135-5454
Country : US
Telephone Number : 918-282-3049
Fax Number :
Provider Business Practice Location Address
First Line : 1538 N LEWIS AVE
Second Line :
City : TULSA
State : OK
Zip : 74110-2535
Country : US
Telephone Number : 918-400-7001
Fax Number : 539-202-5070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2012
Last Update Date : 10/06/2025

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