Provider Demographics
NPI:1801131255
Name:WEATHERS, RICHARD LINN (LPC 12037)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:LINN
Last Name:WEATHERS
Suffix:
Gender:M
Credentials:LPC 12037
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12610 E 18TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74128-6032
Mailing Address - Country:US
Mailing Address - Phone:918-892-0652
Mailing Address - Fax:
Practice Address - Street 1:12610 E 18TH PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74128-6032
Practice Address - Country:US
Practice Address - Phone:918-892-0652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical