Provider Demographics
NPI:1659840064
Name:IT STARTS WITH YOU, LPC PLLC
Entity Type:Organization
Organization Name:IT STARTS WITH YOU, LPC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MHR, LPC
Authorized Official - Phone:405-473-2964
Mailing Address - Street 1:200 N HARVEY AVE APT 906
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-4023
Mailing Address - Country:US
Mailing Address - Phone:405-473-2964
Mailing Address - Fax:405-900-5005
Practice Address - Street 1:200 N HARVEY AVE APT 906
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-4023
Practice Address - Country:US
Practice Address - Phone:405-473-2964
Practice Address - Fax:405-900-5005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200399020BMedicaid