Provider Demographics
NPI:1548319577
Name:LANKARD, CHARLOTTE SUE (LMFT)
Entity type:Individual
Prefix:MS
First Name:CHARLOTTE
Middle Name:SUE
Last Name:LANKARD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 W BRITTON RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-2040
Mailing Address - Country:US
Mailing Address - Phone:405-286-0077
Mailing Address - Fax:405-418-0177
Practice Address - Street 1:3240 W BRITTON RD
Practice Address - Street 2:SUITE 102
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-2040
Practice Address - Country:US
Practice Address - Phone:405-286-0077
Practice Address - Fax:405-418-0177
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK287101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health