Individual
LAKEISHA LEWIS-VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
1006 NE 17TH ST, OKLAHOMA CITY, OK 73111-1002
(405) 419-9800
Mailing address
412 E ROSE DR, MIDWEST CITY, OK 73110-5018
(405) 777-3817
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5703
OK
101YP2500X
Professional Counselor
80658
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200380040B
—
OK
Enumeration date
04/21/2010
Last updated
09/12/2025
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