Lorie Dorholt Tandy, MS, LPC, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2039 Issued in OK

Practice address

4870 S Lewis Ave
Suite 115
Tulsa, OK 74105-5177

Phone

(918) 494-5659

Fax

(918) 551-6619

NPI assigned

Sep 1, 2006

Last updated

Mar 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amy Lorie Dorholt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1629170550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 S LEWIS AVE",
            "address_2": "SUITE 115",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741055151",
            "telephone_number": "918-494-5659",
            "fax_number": "918-551-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 S LEWIS AVE",
            "address_2": "SUITE 115",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741055177",
            "telephone_number": "918-494-5659",
            "fax_number": "918-551-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORHOLT TANDY",
        "first_name": "LORIE",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC, LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DORHOLT",
            "middle_name": "LORIE",
            "prefix": "MRS.",
            "credential": "MS, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.