Provider Demographics
NPI:1588240055
Name:HYLTON, LATRICIA LYNN (LPC CANDIDATE)
Entity Type:Individual
Prefix:MRS
First Name:LATRICIA
Middle Name:LYNN
Last Name:HYLTON
Suffix:
Gender:F
Credentials:LPC CANDIDATE
Other - Prefix:MRS
Other - First Name:LATRICIA
Other - Middle Name:LYNN
Other - Last Name:HYLTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5310 E 31ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-5012
Mailing Address - Country:US
Mailing Address - Phone:479-295-3386
Mailing Address - Fax:
Practice Address - Street 1:5310 E 31ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5012
Practice Address - Country:US
Practice Address - Phone:479-295-3386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor