Provider Demographics
NPI:1083081749
Name:MURPHY, MELINDA ADRIENN (MS, LPC-S, NCC)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:ADRIENN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MS, LPC-S, NCC
Other - Prefix:MISS
Other - First Name:MELINDA
Other - Middle Name:ADRIENN
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC-S, NCC
Mailing Address - Street 1:1620 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-5407
Mailing Address - Country:US
Mailing Address - Phone:918-582-2131
Mailing Address - Fax:918-560-1399
Practice Address - Street 1:1239 S TRENTON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-5420
Practice Address - Country:US
Practice Address - Phone:918-582-2131
Practice Address - Fax:918-588-8860
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-28
Last Update Date:2023-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6533101Y00000X, 101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK6533OtherOKLAHOMA STATE BOARD OF BEHAVIORAL HEALTH