Provider Demographics
NPI:1295447456
Name:BIVENS, TRICIA ANN (LPC)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:ANN
Last Name:BIVENS
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1748 WINCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-1770
Mailing Address - Country:US
Mailing Address - Phone:405-430-0515
Mailing Address - Fax:
Practice Address - Street 1:2007 N COMMERCE ST
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-1268
Practice Address - Country:US
Practice Address - Phone:580-226-9388
Practice Address - Fax:580-226-9395
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional