Provider Demographics
NPI:1073800439
Name:NUNLEY, LATOYIA MONIQUE (BS IN CORRECTIONS)
Entity Type:Individual
Prefix:MRS
First Name:LATOYIA
Middle Name:MONIQUE
Last Name:NUNLEY
Suffix:
Gender:F
Credentials:BS IN CORRECTIONS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 SE 3RD
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160
Mailing Address - Country:US
Mailing Address - Phone:405-436-7474
Mailing Address - Fax:
Practice Address - Street 1:1300 SE 3RD
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160
Practice Address - Country:US
Practice Address - Phone:405-912-2219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health