LISA STAIRES POTTORF M.ED. LPC NPI 1205031002

NPI Information

NPI: 1205031002
Provider Name: LISA STAIRES POTTORF, M.ED., LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4528 S SHERIDAN RD STE 117
TULSA, OK
ZIP 74145
Phone: (918) 794-6570
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Lisa Staires Pottorf, M.ED., LPC is a mental health counselor in Tulsa, OK. Lisa Staires Pottorf, M.ED., LPC NPI is 1205031002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4528 S SHERIDAN RD STE 117
TULSA, OK
ZIP 74145-101
Phone: (918) 794-6570
Fax: (918) 340-5189

The enumeration date for this NPI number is 6/20/2007 and was last updated on 7/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	2224	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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