MS. LISA JOY KIBBLEWHITE MSW
NPI 1730460478
Counselor - Mental Health in Oklahoma City, OK
Active since September 08, 2011
About Ms. Lisa Joy Kibblewhite Msw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LISA JOY KIBBLEWHITE MSW (NPI 1730460478) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since September 2011.
NPPES Registry Identity
NPI1730460478
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LISA JOY KIBBLEWHITECredential: MSW
Location Address3301 NW 21ST STOklahoma City, OK 73107-3013
Mailing Address3301 Nw 21st StOklahoma City, OK 73107-3013 · (405) 550-9789
Phone(405) 550-9789
Sole ProprietorYes
Enumeration DateSeptember 8, 2011
Last NPPES UpdateJanuary 28, 2013
✔ NPI 1730460478 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3301 NW 21ST ST, Oklahoma City, OK 73107
Other Identifiers 1
MedicaidE082497603OK
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730460478, enumerated as an "individual" on September 08, 2011.
The provider is located at 3301 NW 21ST ST OKLAHOMA CITY, OK 73107 and the phone number is (405) 550-9789.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
