Provider Demographics
NPI:1053600528
Name:DINKINS, ALISHA (LCSW)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:DINKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10302 E 71ST ST # 1029
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-3207
Mailing Address - Country:US
Mailing Address - Phone:918-810-9635
Mailing Address - Fax:539-202-5005
Practice Address - Street 1:6216 S LEWIS AVE STE 103
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1017
Practice Address - Country:US
Practice Address - Phone:918-810-9635
Practice Address - Fax:539-202-5005
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
OK5373101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health