Provider Demographics
NPI:1194950162
Name:RIDINGS, ANGELA D (MED, LPC, LADC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:D
Last Name:RIDINGS
Suffix:
Gender:F
Credentials:MED, LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 NW 66TH ST.
Mailing Address - Street 2:BLDG. 9, SUITE 950
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7907
Mailing Address - Country:US
Mailing Address - Phone:405-418-4440
Mailing Address - Fax:405-418-4458
Practice Address - Street 1:200 NW 66TH ST.
Practice Address - Street 2:BLDG. 9, SUITE 950
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-7907
Practice Address - Country:US
Practice Address - Phone:405-418-4440
Practice Address - Fax:405-418-4458
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-20
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK736101YA0400X
OK4177101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)