Individual provider · Type 1 NPI

Lanny Ray Endicott, LCSW, LMFT

Mental Health Counselor · Broken Arrow, OK

NPI number 1386920585 Active

Practice location

3631 S Elm Pl
Broken Arrow, OK 74011-1856

Call (918) 557-8789 Map

Mailing address

1208 E 58th St
Tulsa, OK 74105-8401

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLMFT 328 (OK)
Mental Health Counselor Primary 101YM0800XLCSW 296 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1386920585

Lanny Ray Endicott, LCSW, LMFT's National Provider Identifier is 1386920585, issued on Nov 1, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Broken Arrow, OK. The record was last updated on Jan 10, 2022.