Provider Demographics
NPI:1538348602
Name:DONALDSON, ERICA DANIELLE (MS, LPC)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:DANIELLE
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:LAMBERTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2888 S 33RD WEST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74107-3445
Mailing Address - Country:US
Mailing Address - Phone:918-585-3859
Mailing Address - Fax:
Practice Address - Street 1:6440 S LEWIS AVE STE 2200
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1060
Practice Address - Country:US
Practice Address - Phone:918-712-0859
Practice Address - Fax:918-388-9708
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4313101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK4313OtherLPC LICENSE