Provider Demographics
NPI:1033492947
Name:GUNTY, MAKISHA LITTEN (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:MAKISHA
Middle Name:LITTEN
Last Name:GUNTY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W WILCOX DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-1789
Mailing Address - Country:US
Mailing Address - Phone:520-458-2250
Mailing Address - Fax:
Practice Address - Street 1:333 W WILCOX DR
Practice Address - Street 2:SUITE 303
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-1789
Practice Address - Country:US
Practice Address - Phone:520-458-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-13197104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker