Provider Demographics
NPI:1144328469
Name:SINCLAIR-MOORE, TANGELIA DEMETRA (LPC)
Entity type:Individual
Prefix:
First Name:TANGELIA
Middle Name:DEMETRA
Last Name:SINCLAIR-MOORE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7429 S 96TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5276
Mailing Address - Country:US
Mailing Address - Phone:918-946-8600
Mailing Address - Fax:
Practice Address - Street 1:7429 S 96TH EAST AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5276
Practice Address - Country:US
Practice Address - Phone:918-946-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3752101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health