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AMANDA ETHERIDGE
NPI 1104123405
Community/Behavioral Health in Tulsa, OK

Active since February 22, 2011
6202 S LEWIS AVE STE J, TULSA, OK 74136(918) 392-7988 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Etheridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA ETHERIDGE (NPI 1104123405) is an individual community/behavioral health provider in Tulsa, Oklahoma and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1104123405
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameAMANDA ETHERIDGE
Location Address6202 S LEWIS AVE STE JTulsa, OK 74136-1064
Mailing Address6202 S Lewis Ave Ste JTulsa, OK 74136-1064 · (918) 392-7988
Phone(918) 392-7988
Sole ProprietorYes
Enumeration DateFebruary 22, 2011
Last NPPES UpdateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
✔ NPI 1104123405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
6202 S LEWIS AVE STE J, Tulsa, OK 74136
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA SPARKS-ALEXANDER
Counselor
6202 S LEWIS AVE STE J
TULSA, OK 74136
Tulsa County (918) 584-4549
JULIE SKIDMORE
Counselor (Professional)
6202 S LEWIS AVE STE J
TULSA, OK 74136
Tulsa County (918) 392-7988
MS. AMANDA LEE LINIHAN
Counselor (Professional)
6202 S LEWIS AVE STE J
TULSA, OK 74136
Tulsa County (918) 392-7988
JENNIFER ANN BARTH BA
Counselor
6202 S LEWIS AVE STE J
TULSA, OK 74136
Tulsa County (918) 560-2518
ASHLEY HARVEY
Student in an Organized Health Care Education/Training Program
6202 S LEWIS AVE STE J
TULSA, OK 74136
Tulsa County (918) 584-4549
MRS. DONITA ELIZABETH FISHER
Student in an Organized Health Care Education/Training Program
6202 S LEWIS AVE STE J
TULSA, OK 74136
Tulsa County (918) 584-4549
SUSAN ELIZABETH DAVIS LCSW
Social Worker (Clinical)
6202 S LEWIS AVE STE J
TULSA, OK 74136
Tulsa County (918) 392-7988
KYRA BARTON
Case Manager/Care Coordinator
6202 S LEWIS AVE STE J
TULSA, OK 74136
Tulsa County (918) 584-4549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Etheridge's NPI number?

The NPI number for Amanda Etheridge is 1104123405. It was assigned to this individual provider in the NPPES registry on February 22, 2011.

Where is Amanda Etheridge located?

Amanda Etheridge practices at 6202 S Lewis Ave Ste J, Tulsa, OK 74136. The listed phone number is (918) 392-7988.

What is Amanda Etheridge's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Amanda Etheridge was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.