Provider Demographics
NPI:1811387798
Name:BECK, MICHELE (LCSW, LADC)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:LCSW, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 NE 10TH STREET
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104
Mailing Address - Country:US
Mailing Address - Phone:405-271-8001
Mailing Address - Fax:405-271-2795
Practice Address - Street 1:800 NE 10TH ST
Practice Address - Street 2:SUITE 2300
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5418
Practice Address - Country:US
Practice Address - Phone:405-271-8001
Practice Address - Fax:405-271-2795
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK408101YA0400X
OK49741041C0700X
LA54751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)