Lopes, Sebastiao Ivan

Lopes, Sebastiao Ivan is an sole proprietor health care provider with primary practice located at 2323 S Harvard Ave , Tulsa OK 74114-3301. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Lopes, Sebastiao Ivan can be contacted via phone (918) 293-2140.

Contact Information

Primary practice address
2323 S Harvard Ave Tulsa OK 74114-3301
Phone: (918) 293-2140
Fax: (918) 712-7164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3256 Oklahoma
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 522 Oklahoma
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3256 Oklahoma

Profile Details

NPI number 1528267119
LBN Legal business name Lopes, Sebastiao Ivan
Credentials MS, LPC, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2007
Last updated Apr 3rd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528267119 NPPES
Oklahoma MEDICAID 200365530A

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