Provider Demographics
NPI:1457687881
Name:SPRIGGS, AMANDA (LPC LADC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:SPRIGGS
Suffix:
Gender:F
Credentials:LPC LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11063D S MEMORIAL DR # 128
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-7362
Mailing Address - Country:US
Mailing Address - Phone:918-734-2983
Mailing Address - Fax:918-876-4478
Practice Address - Street 1:11063D S MEMORIAL DR # 128
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-7362
Practice Address - Country:US
Practice Address - Phone:918-734-2983
Practice Address - Fax:918-876-4478
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-20
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK772101YA0400X
OK4281101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE