Individual
MELINDA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5319 S LEWIS AVE, TULSA, OK 74105
(918) 832-7763
(918) 292-8250
Mailing address
5319 S LEWIS AVE, TULSA, OK 74105
(918) 832-7763
(918) 292-8250
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
OK
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
06/07/2012
Last updated
09/19/2019
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