Individual provider · Type 1 NPI

Lisa D. Tidwell-McKay, MS, CADC, LPC-S

Mental Health Counselor · Tahlequah, OK

NPI number 1629375761 Active

Practice location

19600 E Ross St
Tahlequah, OK 74464-0545

Call (539) 234-3555 Map

Fax (539) 234-3501

Mailing address

6810 S. 55th St. E.
Muskogee, OK 74403

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X412 (OK)
Mental Health Counselor Primary 101YM0800X5739 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1629375761

Lisa D. Tidwell-McKay, MS, CADC, LPC-S's National Provider Identifier is 1629375761, issued on Feb 25, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tahlequah, OK. The record was last updated on Apr 20, 2021.