Provider Demographics
NPI:1871020727
Name:SKINNER, TORI (LPC-C)
Entity Type:Individual
Prefix:
First Name:TORI
Middle Name:
Last Name:SKINNER
Suffix:
Gender:F
Credentials:LPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3216 N VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-3131
Mailing Address - Country:US
Mailing Address - Phone:580-330-1486
Mailing Address - Fax:
Practice Address - Street 1:12301 S MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-4502
Practice Address - Country:US
Practice Address - Phone:405-388-0006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-22
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor