Provider Demographics
NPI:1659436897
Name:WHITTINGTON, MEL (LPC)
Entity Type:Individual
Prefix:DR
First Name:MEL
Middle Name:
Last Name:WHITTINGTON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 E 49TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-8710
Mailing Address - Country:US
Mailing Address - Phone:918-747-8886
Mailing Address - Fax:918-747-8886
Practice Address - Street 1:2202 E 49TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-8710
Practice Address - Country:US
Practice Address - Phone:918-747-8886
Practice Address - Fax:918-747-8886
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1142101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1142OtherLICENSED PROFESSIONAL C