Tidwell-Mckay, Lisa D

Tidwell-Mckay, Lisa D is an individual health care provider with primary practice located at 19600 E Ross St , Tahlequah OK 74464-0545. She 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Tidwell-Mckay, Lisa D can be contacted via phone (539) 234-3555.

Contact Information

Primary practice address
19600 E Ross St Tahlequah OK 74464-0545
Phone: (539) 234-3555
Fax: (539) 234-3501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 412 Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5739 Oklahoma

Profile Details

NPI number 1629375761
LBN Legal business name Tidwell-Mckay, Lisa D
Credentials MS, CADC, LPC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2011
Last updated Apr 20th, 2021 - about 4 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.

Request for update

Popular Providers