Provider Demographics
NPI:1972139475
Name:METZKER-KIRKWOOD, LILA RENEE (LPC)
Entity type:Individual
Prefix:
First Name:LILA
Middle Name:RENEE
Last Name:METZKER-KIRKWOOD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LILA
Other - Middle Name:RENEE
Other - Last Name:METZKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:25402 S. 536 RD.
Mailing Address - Street 2:
Mailing Address - City:AFTON
Mailing Address - State:OK
Mailing Address - Zip Code:74331-6440
Mailing Address - Country:US
Mailing Address - Phone:918-413-8652
Mailing Address - Fax:
Practice Address - Street 1:32300 S. 625 RD.
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344
Practice Address - Country:US
Practice Address - Phone:918-786-2930
Practice Address - Fax:918-867-5039
Is Sole Proprietor?:No
Enumeration Date:2020-03-16
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10533101Y00000X, 101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health