Provider Demographics
NPI:1376746933
Name:OLDEN, ALISHA (LPC-CANDIDATE)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:OLDEN
Suffix:
Gender:F
Credentials:LPC-CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 N 28TH WEST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74127-6139
Mailing Address - Country:US
Mailing Address - Phone:918-794-0197
Mailing Address - Fax:918-794-0196
Practice Address - Street 1:551 N 28TH WEST AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74127-6139
Practice Address - Country:US
Practice Address - Phone:918-794-0197
Practice Address - Fax:918-794-0196
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical